摘要
目的 提高肺结核类赫氏反应的认识 ,减少误诊。方法 回顾性分析总结。结果 肺结核类赫氏反应误诊为耐药结核达 36 .7% ,但前者好发于青壮年痰菌阳性重症患者的化疗初期 ,胸片发现病灶恶化与痰菌量减少呈矛盾现象 ,新病灶主要是渗出性改变 ,继续原方案抗痨此反应短期内消失。结论 提高对类赫氏反应的认识 ,特别是将其与耐药结核的鉴别十分重要。
Objective To study the clinical feature and reduce misdiagnosis of Herxheimer-liked reaction in the treatment of tuberculosis.Methods Reviewing the medical records of tuberculosis patients.Results This reaction occured in the initial therapy of the severe tuberculosis cases with positive sputum,there were manifestations of the radiographic changes,most of which were pulmonary infiltration.Conclusions It is important to realize the character of herxheimer-liked reaction and distinguish with drug-resistant tuberculosis.
出处
《中国误诊学杂志》
CAS
2001年第6期816-817,共2页
Chinese Journal of Misdiagnostics
