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西方国家结核病发病率虽减少,但X 线表现不典型的结核病有所增加,同时临床医生缺乏对结核病的警惕性,因此误诊率高。1例慢性间质病患者尸解时发现结核肉芽肿,促使作者对162例慢性肺间质病进行回顾性调查。男93,女69例,年龄18～86岁,平均57岁,均为Meir 医院胸科1970年1月间住院病人。随访至1986年或至失访或死亡。连续3次结核菌培养中有≥1次以上的H_(37)Rv 生长,诊断为活动性肺结核。结果①162例中有122例患特发性慢性肺间质病,23例肺结节病,胶原血管病5例,组织细胞增多症X4例,尘肺3例,放疗后纤维化2例,肺淀粉样变,
Western countries, although the incidence of tuberculosis decreased, but X-ray atypical tuberculosis has increased, while clinicians lack of vigilance on tuberculosis, misdiagnosis rate. One patient with chronic interstitial disease found tuberculosis granuloma at the time of autopsy, prompting the author to retrospectively investigate 162 cases of chronic interstitial lung disease. Male 93 and female 69, aged 18 to 86 years old, average 57 years old, were hospitalized patients in Meir Hospital chest January 1970. Follow up until 1986 or until lost or died. There were ≥1 or more H_ (37) Rv growths in 3 consecutive TB cultures, which were diagnosed as active tuberculosis. Results ① Among 122 cases, 122 cases had idiopathic chronic pulmonary interstitial disease, 23 cases of pulmonary sarcoidosis, 5 cases of collagen vascular disease, X 4 cases of histiocytosis, 3 cases of pneumoconiosis, 2 cases of fibrosis after radiotherapy, Like change,