急性结核性大叶性肺炎的诊治  

Diagnosis and treatment of acute labor pneumonic tuberculosis

作　　者：迟晶宇[1] 徐玉荣[1] 王旭明[1] 陆金宝[1] 

机构地区：[1]山东省胸科医院呼吸一科,250013

出　　处：《临床肺科杂志》2004年第4期367-369,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的　提高结核性大叶性肺炎 (或称肺炎型结核 )的认识。方法　对 6 3例结核性大叶性肺炎进行了综合分析。结果　 6 3例患者均为急性发病 ,6 0例表现为持续高热 ,血白细胞低于 1 0× 1 0 9/ L。胸部 X线片均示肺叶分布的渗出性病变 ,且在短期内可有明显病变 ,全部患者对抗生素的治疗无效 ,可于短期显著增大 ,抗结核治疗后 ,病灶则可于短期内明显吸收 ,无空洞形成。结论　早期支气管肺活检 (TBL T)和支气管内膜刷检可助早期诊断和早期治疗。应对此病引起重视 。Objective To increase awareness of labor pneumonic tuberculosis (or tuberculous pneumonia or acute pneumonic tuberculosis).Methods The records of 63 cases with labor pneumonic tuberculosis were thoroughly analyzed. Results All the patients showed acute onsets. Sixty of the patients showeda continuous high fever and their peripheral blood white cell accounts (WBC) were less than 10×10 9/L. All patients' chest radiographs showed a consolidation, indicating that possible shadow enlargerment may occur in a short period of time. All the patients were not sensitive to common antibiotics. Exudative lesions could be absorbed shortly after antituberculosis chemotherapy and no cavitation was found.Conclusion Early transbroncho-lung biopsy (TBLB) and (or) brushing smear may be helpful for an early diagnosis and the treatment of the disease. More attention should be paid to it for avoiding possible misdiagnosis.

关 键 词：肺结核 肺炎 活检 刷检 

分 类 号：R521[医药卫生—内科学]