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回顾分析本院1984年7月～1991年3月经病理证实,误诊为肺结核的小细胞肺癌(SCLC)30例。平均误诊110.1天,其中误诊3个月以上占76.7％。误诊主要原因为两病的发病年龄有重叠,均以中青年为多;对SCLC特点不熟悉,警惕性不高;对共性症状缺乏细致分析;对X影相未能注意观察。本文结合文献对SCLC和肺结核的鉴别进行讨论。
Retrospective analysis of our hospital from July 1984 to March 1991 confirmed by pathology, misdiagnosed as tuberculosis of small cell lung cancer (SCLC) in 30 cases. The average misdiagnosis of 110.1 days, of which misdiagnosed more than 3 months accounted for 76.7%. The main reason for misdiagnosis is that the age of onset of the two diseases overlap, both young and middle-aged; not familiar with the features of SCLC, vigilance is not high; the lack of detailed analysis of common symptoms; failed to observe the X-ray film. This article combines the literature on the identification of SCLC and tuberculosis are discussed.