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目的:探讨结核病延误诊断的原因及预防对策。方法:回顾性分析我院近年收治的4例结核病患者临床症状、诊断及治疗等资料。结果:4例患者分别误诊为不明原因肺炎,重症肺炎合并胸腔积液,肺心病、心功能不全合并胸腔积液,胰腺炎。结论:临床医生要提高对结核病的认识,减少漏、误诊,对于通过现有方法以至有创检查仍不能排除结核病者,应积极试行诊断性治疗,以期提高对结核病的诊断水平。
Objective: To explore the causes of delayed diagnosis of tuberculosis and its preventive measures. Methods: The clinical symptoms, diagnosis, treatment and other data of 4 TB patients admitted to our hospital in recent years were retrospectively analyzed. Results: Four patients were misdiagnosed as unexplained pneumonia, severe pneumonia with pleural effusion, pulmonary heart disease, cardiac insufficiency associated with pleural effusion, pancreatitis. Conclusion: Clinicians should raise awareness of tuberculosis and reduce leakage and misdiagnosis. For those who can not rule out tuberculosis through existing methods and invasive examination, they should actively try out diagnostic treatment in order to improve the diagnosis of tuberculosis.