结核病的症状和体征极其复杂,临床表现千变万化,结核病误诊误治的情况也累见不鲜。下面,就结核病诊断中的思想方法问题,谈谈个人的浅见。我院曾收治一例中年患者,既往健康,无肺结核病史。因“感冒”后咳嗽数周不愈而在某院就诊,胸部X线检查发现右肺门团块状阴影,拟为肺癌。X线断层照片提示支气管肺癌征。经剖胸探查手术、组织切片、细胞病理学检查才确诊为肺结核,从而纠正了术前诊断。病者从发病至手术先后诊治的医生有十多人,大多数认为支气管肺癌。其实,病者的肺结核真相被酷似肺癌的假相所迷惑。可见人的 The symptoms and signs of tuberculosis are extremely complicated, the clinical manifestations are ever-changing, and the misdiagnosis and mistreatment of tuberculosis are also not uncommon. Now, on the way of thinking in the diagnosis of tuberculosis, talk about personal humble opinion. Our hospital had admitted a middle-aged patient, past health, no history of pulmonary tuberculosis. Due to “cold ” after a few weeks of cough healing in a hospital, chest X-ray examination found the right hilar mass shadow, intended for lung cancer. X-ray photographs suggest bronchial lung cancer sign. The thoracotomy exploration surgery, tissue biopsy, cytopathology was diagnosed as pulmonary tuberculosis, thus correcting the preoperative diagnosis. From the onset of disease to the operation of the doctor has a dozen doctors, most believe that bronchial lung cancer. In fact, the truth of the patient’s tuberculosis is confused by the false phase of lung cancer. Visible