摘要
目的 :提高对不典型肺结核的诊断水平。方法 :对 97～ 99三年中确诊为肺结核 4 1例进行回顾性分析。结果 :男 31人 ,女 10人 ,年龄 53.0 2± 15.85岁。低热 (T<38.5℃ ) 12例 ,高热 (T>38.5℃ ) 11例 ,体温正常 18例。结核菌素皮肤试验 (PPD)阳性率 6 0 % ,强阳性仅 2例。血沉 72 .8±36 .3mm/h,外周血白细胞 >11.0× 10 9/L4例 ,其余正常范围。胸部 X线征象按其主要病变性质分肺炎型、慢性支气管炎急性发作型、肺脓疡型、结节肿块型、胸水型和混合型 ,并具有显著的三多 (多病灶、多部位、多形态 )的特点。结论 :不典型肺结核诊断困难。增强对其特点的认识 ,提高痰涂阳性率 ,积极开展纤支镜检查 ,熟悉不典型肺结核的 X线征象的三多特点 。
Objective:[WT5BZ]To raise the level of the diagnosis of atypical pulmonary TB.[WT5HZ]Method:[WT5BZ]41 cases confirmed with pulmonary TB from 1997～1999 were analysed retrospectively.[WT5HZ]Results:[WT5BZ]Of 41 cases,male 31,female 10,the mean age was 52.02±15.85 years.There were 12 cases with low fever(T<38.5℃),11 cases with high fever (T>38.5℃),18 cases without fever.The positive rate of PPD was 60%,only 3 cases showed strong positive.ESR of 25 cases were 72.8±36.3mm/h,white blood cell increased(>1.1×10 9/L)only in 4 cases ,the remain were normal.The signs of chest X ray were classified as the type of pneumonia,the type of chronic bronchitis with acute exacerbation;the type of lung abcess;the type of nodule and mass,the type of pleural effusion,and mixed type,according to the feature of it.The signs of poly focuses,poly parts and poly shapes were the remarkable characteristic.[WT5HZ]Conclusion:[WT5BZ]The diagnosis of atypical pulmonary TB is difficult.But,to enhance the recognition to atypical pulmonary TB,to raise the positive rate of sputum examination,to develop the bronchoscopy actively,to master the characteristic of three poly' of X ray ,all of them would help the diagnosis of pulmonary TB as early as possible. [WT5HZ]
出处
《河北医学》
CAS
2000年第6期493-495,共3页
Hebei Medicine
关键词
肺结核
结核菌素皮肤试验
纤维支气管镜
WT5BZ]Pulmonary Tuberculosis
General hospital
PPD
Bronchoscopy
