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肺癌的影象虽有些特征,但表现不一,几乎需与所有肺部疾病的影象鉴别。肺结核现仍为呼吸系统中常见病,各类型肺结核均需与之鉴别,据北京结核病暨肺部肿瘤研究所统计,肺癌被各单位误诊为肺结核有58.6％。凡年龄在45岁以上男性,有多年吸烟史(吸烟指数>400)出现下列征象首应诊除肺癌。1.肺部小结节或斑块状影,经抗炎、抗结核治疗不见好转或反而增大者。2.出现一例肺门增大或肺叶不张。3.临床上出现无热性痰血或刺激性咳嗽。4.有内腔不规则的偏心厚壁空洞,特别是结核菌阴性者。5.反
Although the image of lung cancer has some characteristics, but the performance varies, it is almost necessary to identify with the image of all lung diseases. Tuberculosis is still a common disease in the respiratory system. All types of tuberculosis need to be identified. According to statistics from the Beijing Institute of Tuberculosis and Lung Cancer, lung cancer is misdiagnosed as 58.6% of tuberculosis patients. All men over 45 years of age who have years of smoking history (smoking index >400) have the following symptoms: First diagnosis is lung cancer. 1. Pulmonary nodules or plaque-like shadows are not improved by anti-inflammatory and anti-tuberculosis treatments or are increased. 2. There was a case of hilar enlargement or atelectasis. 3. There is no fever or irritating cough in clinical practice. 4. Irregular eccentric thick-walled cavities, especially those with TB negative. 5. Anti