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肝结核临床报导较少,据有关文献报告死于肺结核者约有50～80％并肝脏结核,说明肝结核实际并非少见。在肝活检应用于临床前明确该病诊断确属困难,也常延误治疗。本文搜集5例肝结核病例,其中1例临床诊断肝炎,因疗效差行肝穿刺确诊,3例因上腹部肿物行剖腹探查证实,另1例临床误诊肝硬化腹水,尸解后方明确诊断。现将死亡病例报告如下,并结合另4例做简要讨论。病例报告患者于××,女性,20岁,病历号294329,1978年4月16日入院。
Less clinical reports of liver tuberculosis, according to the literature reported that about 50 to 80% died of tuberculosis and liver tuberculosis, liver tuberculosis is actually not uncommon. Liver biopsy used in the clinic before the diagnosis of the disease is indeed difficult, but also often delayed treatment. This article collected 5 cases of liver tuberculosis, of which 1 case of clinical diagnosis of hepatitis, due to poor efficacy of liver biopsy confirmed in 3 cases of upper abdominal tumor by laparotomy confirmed the other case of clinical misdiagnosis of liver cirrhosis ascites, autopsy rear clear diagnosis. The death cases are reported below, combined with another 4 cases to do a brief discussion. Case report Patients in × ×, female, 20 years old, medical record number 294329, April 16, 1978 admission.