论文部分内容阅读
目的:探讨支气管内膜结核临床误诊诊治经验。方法:总结分析近3 a我院28例支气管内膜结核早期误诊的临床资料。结果:13例误诊为急性支气管炎,5例误诊为慢性支气管炎急性发作,4例误诊为急性上呼吸道感染,3例误诊为慢性咽炎,2例误诊为咳嗽变异性哮喘,1例为痰血待查。结论:单纯性支气管内膜结核临床表现缺乏特异性,早期如胸片、CT扫描多无阳性结果而易漏诊和误诊。纤维支气管镜检,结合病理活检、抗酸染色等检查是早期诊断单纯性支气管内膜结核有效方法。
Objective: To investigate the clinical diagnosis and treatment of endobronchial tuberculosis. Methods: The clinical data of 28 cases of early misdiagnosis of endobronchial tuberculosis in our hospital in recent 3 years were analyzed. Results: 13 cases were misdiagnosed as acute bronchitis, 5 cases were misdiagnosed as acute exacerbation of chronic bronchitis, 4 cases were misdiagnosed as acute upper respiratory tract infection, 3 cases were misdiagnosed as chronic pharyngitis, 2 cases were misdiagnosed as cough variant asthma, 1 case as sputum blood To be checked. Conclusion: The clinical manifestations of simple bronchial endometrial tuberculosis lack specificity. In the early stage, such as chest radiograph and CT scan, most of them have no positive result and are easily misdiagnosed and misdiagnosed. Fiberoptic bronchoscopy, combined with biopsy, acid-fast staining and other tests is an effective early diagnosis of simple bronchial tuberculosis.