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目的：探讨肺结核与支气管哮喘并发支气管粘液嵌塞的发病机理,临床与X线特征。材料和方法：对7例肺结核与支气管哮喘并发支气管粘液嵌塞的临床及X线表现进行分析。结果：该病好发于右肺上叶支气管、粘液痰栓和肺不张在X线片上表现如墨鱼状、粘液痰栓相当于墨鱼的足─—呈V、Y或树枝状影,肺不张呈块状影,相当于黑鱼头与体部,有时可观察到痰柱周围的气体形成包壳状影。当粘液栓咳出后、肺部分或完全复张、可显示与粘液栓形态一致的支气管气象及扩张支气管的轴位象。结核患者尚可显示原有的结核灶。结论：肺结核与支气管哮喘并发支气管粘液嵌塞具有特征性的临床及X线表现。
Objective: To investigate the pathogenesis, clinical features and X-ray findings of pulmonary mucosal impaction of pulmonary tuberculosis and bronchial asthma. MATERIALS AND METHODS: The clinical and radiographic findings of 7 cases of pulmonary tuberculosis and bronchial asthma complicated with bronchial mucus plug were analyzed. Results: The disease occurred in the right upper lobe bronchus, mucus thrombus and atelectasis in the X-ray film showed as cuttlefish, mucus sputum suppository equivalent to cuttlefish foot ─ ─ V, Y or dendritic shadow, lung Zhang was massive shadow, the equivalent of blackfish head and body, and sometimes can be observed around the sputum columnar gas-shaped shadow formation. When the mucus plug coughs out, the lung partially or completely re-expands to show bronchial gasography consistent with mucus plug morphology and bronchial expansion of the axial image. Tuberculosis patients can still show the original tuberculosis. Conclusion: Pulmonary tuberculosis and bronchial asthma complicated with bronchial mucus impaction have characteristic clinical and X-ray findings.