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目的为认识肺炎球菌肺炎的临床特殊表现,提高诊断水平。方法对吉林建筑工程学院医院曾经误诊的8例病例,进行回顾性分析。采用CT、核磁共振、支气管镜、支气管体层摄影、支气管造影,痰脱落细胞等项检查,最终诊断均经痰菌培养证实。结果误诊为肺结核6例、肺癌2例。结论临床表现不典型,检查不全面,病程长,易误诊的X线影像,缺少动态观察,是造成误诊的主要原因。
Objective To understand the clinical manifestations of pneumococcal pneumonia and improve the diagnostic level. Methods A retrospective analysis was performed on 8 cases that were misdiagnosed by Jilin Construction Engineering College Hospital. CT, MRI, bronchoscopy, bronchoscopy, bronchography, sputum exfoliated cells and other items of examination, the final diagnosis by sputum culture confirmed. Results misdiagnosed as tuberculosis in 6 cases, 2 cases of lung cancer. Conclusion The clinical manifestations of atypical, incomplete examination, long course, easily misdiagnosed X-ray images, the lack of dynamic observation, is the main reason for misdiagnosis.