摘要
目的探讨肺结核患者胸部X线阴影迅速恶化的原因,为早期诊断提供依据。方法对1983～1993年在我院住院的肺结核病人,发生肺部阴影迅速恶化,且符合选例标准者42例进行回顾性临床总结。结果肺结核患者胸部X线阴影迅速恶化而误诊者34例(80.95％),其中误诊为结核恶化25例(73．52％)。42例中根据恶化的原因分类：肺部感染21例,支气管结核16例,呼吸窘迫综合征3例,肺癌2例。恶化原因不同,X线影象也各有特征。研究结论肺结核患者胸部X线阴影迅速恶化多为合并症引起。
Objective To research the causes of rapid exacerbation of chest X-ray shadow in pulmonary tuberculosis in order to provide evidence for earlier diagnosis.Methods The clinical data of 42 cases of pulmonary tuber cuIosis X-ray with rapid exacerbation of chest shadow, admitted in our hospital from 1983 to 1993 and according with diagnose standard, was anayzed retrospectively. Results In 42 cases of pulmonary tuberculosis with rapid exacerbation of chest X-ray shadow, 34 cases (80. 95% ) were misdiagnosed and among of them 25 patients (73. 52% ) were misdiagnosed as exacerbation tuberculosis. According to the causes of rapid exacerbation, 42 patients were divided into following types: Lung infection 21 cases, bronchial tuberculosis 16 cases, respiratory distres syndrome 3 cases,pulmonary carcinoma 2 cases. The causes of exacerbation were different, so characters of ch est X-ray image were different.Conclusion The causes of rapid exacerbation of chest X-ray shadow in patients with pulmonary tuberculosis are mostly caused by complications in lung.
出处
《新乡医学院学报》
CAS
1994年第4期364-366,共3页
Journal of Xinxiang Medical University
关键词
肺结核
X线诊断
tuberculosis, Lung, X-ray
