我院12年间住院病人确诊为肺结核230例,其中漏诊和误诊共97例。误诊最多者为肺炎、慢性支气管炎、肺气肿、肺心病和肺癌。诊断其他呼吸系病67例,占69.1%;诊断非呼吸系病25例,占25.8%;发热待诊5例,占5.15%。就漏诊和误诊原因进行了探讨,并提出综合医院在肺结核诊治中应注意的一些问题。 In our hospital for 12 years, 230 inpatients were diagnosed as pulmonary tuberculosis, of which 97 cases were missed and misdiagnosed. Most misdiagnosed pneumonia, chronic bronchitis, emphysema, pulmonary heart disease and lung cancer. 67 cases were diagnosed as other respiratory diseases, accounting for 69.1%; 25 cases were diagnosed as non-respiratory diseases, accounting for 25.8%; 5 cases were diagnosed as fever, accounting for 5.15%. The causes of misdiagnosis and misdiagnosis were discussed, and some problems should be noted in the diagnosis and treatment of tuberculosis in general hospitals.