论文部分内容阅读
目的分析下肺结核的临床与X线表现及误诊原因,提高认识,减少误诊。方法通过对经证实的下肺结核的X线胸片表现及相关临床症状和体征进行分析,探讨误诊的可能原因。结果本组下肺叶结核36例,曾有17例误诊(47.2%)。结论下肺结核缺乏特征的X线表现易致临床误诊,应掌握下肺结核的X线表现和临床特点,重视X线表现与临床特点相结合,提高对本病的重视。详实的病史、一段时间内反复多次查痰,快速痰培养以及随访复查是减少或避免误诊的关键。
Objective To analyze the clinical and radiological manifestations of tuberculosis and the causes of misdiagnosis, to raise awareness and reduce misdiagnosis. Methods The clinical manifestations and related clinical symptoms and signs of confirmed pulmonary tuberculosis were analyzed to explore the possible causes of misdiagnosis. Results 36 cases of pulmonary tuberculosis in this group, 17 cases had misdiagnosis (47.2%). Conclusions X-ray manifestations of pulmonary tuberculosis lacking characteristics are prone to clinical misdiagnosis. X-ray findings and clinical features of pulmonary tuberculosis should be grasped. The importance of X-ray manifestations and clinical features should be emphasized to improve the attention of this disease. Detailed medical history, repeated sputum as many times over a period of time, rapid sputum culture and follow-up review is the key to reduce or avoid misdiagnosis.