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尽管诊断技术显著进步,但肺结核误诊累有发生,甚者达数年之久。本文结合病例讨论误诊原因。一、反复咯血,缺乏结核中毒症状而误诊为支气管扩张咯血合并感染例1 男 31岁住院号297213 因反复咯血3年入院。3年前无明显诱因突咯鲜血10ml 左右,胸透(-)而诊断为支气管扩张咯血,以后间断咯血,最多达200～300ml,胸片示右下肺片状阴影。无午后低热、盗汗等结核中毒症状。痰查结核菌1次(-),
Despite the significant advances in diagnostic techniques, misdiagnosis of tuberculosis occurs, even for years. This article discusses the causes of misdiagnosis. First, repeated hemoptysis, the lack of symptoms of tuberculosis was misdiagnosed as bronchiectasis with hemoptysis with infection 1 male 31-year-old hospitalization 297213 due to repeated 3 years of hospitalization for hemoptysis. 3 years ago, there was no obvious incentive for sudden protrusion of about 10 ml of blood, chest (-) and diagnosed bronchiectasis hemoptysis, after intermittent hemoptysis, up to 200 ~ 300ml, chest X-ray showed right lower shadow. No afternoon fever, night sweats and other symptoms of tuberculosis poisoning. Sputum check tuberculosis 1 (-),