粟粒型肺结核几乎均有明显之发热、盗汗或寒战或气促或谈中带血等结核中毒症状,而仅有发烧及消化道症状者少见。现将我院1例误诊为肝炎者报告如下,以使同行在临床工作中引起注意。患者:孙某,女,45岁。因发热,体温37.4°～40℃(间断性)、食欲不振,纳差、乏力,有时轻微咳嗽,咯少许黄粘痰2个月入院。入院前门诊检查:肝脾大,GPT77单位,并以肝炎收入。查 Miliary tuberculosis almost have obvious fever, night sweats or chills or breathlessness or talk of bloody tuberculosis and other symptoms of poisoning, and only those with fever and gastrointestinal symptoms rare. I now misdiagnosed as hepatitis in our hospital were reported as follows, so that colleagues in the clinical work of attention. Patient: Sohn, female, 45 years old. Due to fever, body temperature 37.4 ° ~ 40 ℃ (intermittent), loss of appetite, anorexia, fatigue, and sometimes mild cough, slightly yellow phlegm admitted for 2 months. Pre-admission clinic examination: hepatosplenomegaly, GPT77 units, and hepatitis income. check