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我院1974年1月至1980年6月住院病人1,489例中,肺结核误诊病例共86例,占5.78％。其中51例肺结核误诊为其他疾病者,均经痰菌阳性证实;35例其他疾病误诊为肺结核者,除1例矽肺合并肺结核痰菌阳性外,其余痰菌均为阴性,并经病检(19例)、抗原皮肤试验、虫卵、血象检查和诊断性治疗而确诊。一、肺结核误诊为其他疾病 (一) 呼吸道感染被误为“肺部炎症”的25例(25/51)。误时最长达6个月。大都以咳嗽、发热或咯血等症就诊。以发热为主的16例中,11例体温在38℃以上。误为“肺脓疡”者5例(5/51),误
Among 1,489 hospitalized patients from January 1974 to June 1980 in our hospital, there were 86 cases of misdiagnosis of tuberculosis, accounting for 5.78%. 51 cases of pulmonary tuberculosis misdiagnosed as other diseases were confirmed by sputum positive; 35 cases of other diseases misdiagnosed as tuberculosis, in addition to a case of silicosis with tuberculosis sputum positive, the other sputum were negative, and by disease examination (19 Cases), antigen skin test, eggs, blood tests and diagnostic treatment confirmed. First, pulmonary tuberculosis misdiagnosed as other diseases (A) respiratory tract infection was mistaken for “lung inflammation” in 25 cases (25/51). Mistakes up to 6 months. Mostly cough, fever or hemoptysis embolism. Of the 16 cases with fever, 11 cases had body temperature above 38 ° C. False as “lung abscess” in 5 cases (5/51), mistaken