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目的探讨肺结核合并肺癌的临床特点,降低误诊、漏诊率。方法回顾分析45例肺结核合并肺癌的临床特点及治疗。结果患者平均年龄53.6岁,临床表现:反复出现咳嗽、咳血、消瘦、胸痛。影像学出现新发病灶:特别是孤立性结节灶、肺不张、肺门增大、胸腔积液。结论在治疗肺结核患者应高度警惕肺癌的发生,定期复查胸片或胸部CT,必要时行特殊检查,做到早期诊断,早期治疗。
Objective To investigate the clinical features of pulmonary tuberculosis complicated with lung cancer and to reduce the misdiagnosis and misdiagnosis rate. Methods Retrospective analysis of 45 cases of pulmonary tuberculosis with lung cancer clinical features and treatment. Results The average age of patients was 53.6 years old, clinical manifestations: recurrent cough, hemoptysis, weight loss, chest pain. Emergence of imaging imaging lesions: especially solitary nodules, atelectasis, hilar enlargement, pleural effusion. Conclusion In the treatment of patients with pulmonary tuberculosis should be highly alert to the occurrence of lung cancer, chest X-ray or chest CT review regularly, if necessary, conduct special inspections, so early diagnosis and early treatment.