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目的:探讨气管、支气管结核的纤支镜下表现与临床特点的相关性,及早发现和治疗气管、支气管结核。方法:分析我科2002年2月~2003年4月收治的气管、支气管结核并行纤维支气管镜检查确诊的50例患者,分析发病年龄,性别,病程,初、复治,X线表现,痰菌检查与纤支镜下所见的相关性。结果:气管、支气管结核发病,与年龄、性别、临床表现无明显相关性,与病程,初治或复治,X线表现,如病灶侵及2个肺野以上、双肺弥漫性病变,痰菌(+)等症相关。结论:气管、支气管结核临床表现不典型,应及早行纤支镜检查,以免漏诊和误诊。
Objective: To explore the correlation between bronchial bronchoscopy and bronchial bronchoscopy under bronchoscopy and clinical features, and to detect and treat early tracheal and bronchial tuberculosis. Methods: Fifty patients diagnosed by bronchofibroscope and bronchial tuberculosis admitted to our department from February 2002 to April 2003 were analyzed. The age, sex, course of disease, initial, retreatment, X-ray manifestations, sputum bacteria Check the correlation with bronchoscopy. Results: The incidence of trachea and bronchial tuberculosis had no significant correlation with age, gender and clinical manifestations. And the course of disease, initial treatment or retreatment, X-ray findings, such as lesions invading more than 2 lung fields, diffuse lung lesions, sputum Bacteria (+) embolism related. Conclusion: The clinical manifestations of trachea and bronchial tuberculosis are not typical, and bronchoscopy should be performed as early as possible to avoid misdiagnosis and misdiagnosis.