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目的：研究老年肺结核患者被误诊为肺炎的原因﹐从而将诊断水平提高。方法回顾性分析被误诊为肺炎的28例老年肺结核患者资料。结果导致老年肺结核被诊断为肺炎的主要原因为合并症多﹑表现不典型﹑未进行痰培养等。结论老年肺结核被误诊为肺炎的因素较多﹐对表现不典型但高度疑似肺结核的患者要及时进行痰培养﹐从而减少误诊。“,”Objective To study the cause of the elderly pulmonary tuberculosis patients were misdiagnosed as pneumonia,so as to improve the diagnostic level.Methods A retrospective analysis of 28 cases were misdiagnosed as pneumonia in elderly patients with pulmonary tuberculosis. Results The main causes of senile pulmonary tuberculosis were diagnosed with pneumonia complications,performance more typical,not the implementation of sputum culture,etc.Conclusion The factors of senile pulmonary tuberculosis were misdiagnosed as pneumonia is more,the performance is not typical but highly suspected tuberculosis patients should implement comprehensive sputum culture,so as to reduce misdiagnosis.