摘要
目的探讨肺泡微结石症(pulmonary alveolar microlithiasis,PAM)的临床表现、误诊原因及其防范措施。方法对我院近年收治的1例误诊为肺结核的PAM临床资料进行回顾性分析。结果患者因间断咳嗽、咳痰伴胸闷8年,加重3周入院。外院诊断为肺结核及急性上呼吸道感染,予相应治疗无效,入我院。经细致查体及行相关医技检查后确诊为PAM、肺源性心脏病。予吸氧、抗感染及对症治疗后,病情好转出院。结论影像学检查对PAM的诊断至关重要,典型病例不需活检,通过影像学检查即可诊断。缺乏对PAM认识、诊断思维局限及未行特异性医技检查是造成PAM误诊的主要原因。
Objective To investigate clinical manifestations, misdiagnosis cause of pulmonary alveolar microliasis （PAM） and its countermeasures. Methods Retrospective analysis of clinical data of a case of PAM misdiagnosed as pulmona- ry tuberculosis was conducted. Results The patient was admitted for intermittent coughing, expectoration with dyspnea for 8 years, and aggravation for 3 weeks. The patient was misdiagnosed as having pulmonary tuberculosis and acute upper respiratory tract infection in other hospitals. The diagnosis of PAM, cor pulmonale, was defined after a physical examination and iatrical ex- amination. The patient recovered and was diacharged after inhaling oxygen, anti-infection and symptomatic treatment. Conclu- sion An icconographic examination is very important for PAM diagnosis. A typical case can be diagnosed by iconography with- out biopsy. The main cause of misdiagnosis may be due to lack of understanding of PAM, limited diagnostic thinking and no ac- cess to specificity iatrical examination.
出处
《临床误诊误治》
2012年第5期19-20,共2页
Clinical Misdiagnosis & Mistherapy
关键词
肺泡
结石
误诊
结核
肺
Pulmonary alveoli
Calculus
Misdiagnosis
Tuberculosis, pulmonary
