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随着有效抗结核药物的应用,肺结核患者的生存年龄延长,使中老年肺结核患者增多,而中老年也是肺癌的好发年龄,故两病并存的病例逐渐增多,但由于大部分患者有明确的肺结核病史或阳性痰结核菌检查结果,故易于肯定肺结核的诊断面忽视肺癌的征象,导致误诊。我院呼吸内科1989～1995年共确诊原发性肺癌542例,与结核并存且按肺结核治疗达1月以上者58例。为提高对两病共存的诊断,作临床分析如下。
With the effective use of anti-tuberculosis drugs, tuberculosis patients with longer survival, so that elderly patients with tuberculosis increased, and middle-aged and elderly lung cancer is the age of onset, so the two cases of coexisting cases gradually increased, but most patients have a clear History of tuberculosis or positive sputum TB test results, it is easy to confirm the diagnosis of tuberculosis neglect lung cancer signs, leading to misdiagnosis. Respiratory Medicine in our hospital from 1989 to 1995 were diagnosed 542 cases of primary lung cancer, coexist with tuberculosis and tuberculosis treatment for more than 1 month in 58 cases. To improve the diagnosis of coexistence of two diseases, for clinical analysis as follows.