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原发性粟粒性肝结核是指肺部无结核病变,仅表现为肝内粟粒结核。此病临床上少见,我们近遇1例,在剖腹探查手术前误诊为肝脓疡及肝癌,经手术并作肝脏活体组织检查后才诊断为原发性粟粒性肝结核,经抗结核治疗后,病情迅速好转,特报告如下:患者男性,30岁,农民,住院号:217468。因纳差、乏力、消瘦2月余,发热20天于1983年7月23日入院。入院前2个月感纳差、乏力、体重减轻,20天来感发热,体温波动在38～39℃间,以午后及夜间为著。当地医院发现肝脾肿大、肝功能异常,经抗生素及护肝治疗后,症状逐
Primary miliary liver tuberculosis refers to non-tuberculosis lung disease, only showed intrahepatic miliary tuberculosis. The disease is clinically rare, we nearly encountered in 1 case, misdiagnosed as liver abscess and liver cancer before laparotomy, after surgery and liver biopsy was diagnosed as primary miliary liver tuberculosis, after anti-TB treatment , The condition improved rapidly, especially reported as follows: Male patient, 30 years old, farmer, hospital number: 217468. Due to anorexia, fatigue, weight loss more than 2 months, fever 20 days in July 23, 1983 admission. Few months before admission, anorexia, fatigue, weight loss, 20 days to feel fever, body temperature fluctuations between 38 ~ 39 ℃, in the afternoon and at night. Local hospital found hepatosplenomegaly, abnormal liver function, antibiotics and liver protection, the symptoms by