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目的探讨肝结核的临床症状及诊断并分析其误诊原因。方法对1996年至2007年收治的14例肝结核患者的临床资料进行回顾性分析。结果有64.28%患者系经肝穿刺活检病理诊断。肝结核主要临床表现有发热(71.43%)、肝肿大(42.86%)、腹痛(35.71%)、贫血(57.14%)、肝功能损害(57.14%)及血沉增快(35.71%)。结论对不明原因发热伴肝脾肿大、腹痛、血沉增快、肝功能损害患者,应怀疑肝结核的可能。经皮肝穿刺活检病理检查是确诊的主要手段。
Objective To investigate the clinical symptoms and diagnosis of liver tuberculosis and analyze the causes of misdiagnosis. Methods The clinical data of 14 patients with liver tuberculosis admitted from 1996 to 2007 were analyzed retrospectively. Results 64.28% of the patients were diagnosed by liver biopsy. The main clinical manifestations of hepatic tuberculosis were fever (71.43%), hepatomegaly (42.86%), abdominal pain (35.71%), anemia (57.14%), liver dysfunction (57.14%) and erythrocyte sedimentation rate (35.71%). Conclusion For unknown causes of fever with hepatosplenomegaly, abdominal pain, erythrocyte sedimentation rate, liver dysfunction, suspected liver tuberculosis should be suspected. Percutaneous biopsy biopsy is the main means of diagnosis.