17例糖尿病合并肺结核误诊为肺癌的诊治体会  

Diagnosis and treatment of 17 cases of pulmonary tuberculosis complicated by diabetes misdiagnosed lung cancer

作　　者：刘景阳 毕艳 刘国利 刘倩影[4] 曲长春[5] 

机构地区：[1]辽宁省盘锦市第三人民医院,124000 [2]辽宁省盘锦市传染病院 [3]长春市传染病院传染科,130123 [4]中国解放军总医院第二附属医院结核科,100089 [5]黑龙江省鸡西市传染病医院,158100

出　　处：《临床肺科杂志》2008年第5期608-609,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的总结肺结核合并糖尿病的诊治经验,减少误诊率。方法回顾分析17例肺结核合并糖尿病患者误诊为肺癌的诊治经过。结果肺结核合并糖尿病的患者临床表现及化验检查均不典型,病灶为团块阴影特点。结论糖尿病对肺结核影响较大,肺活检是有效的检查方法。Objective To sum up the experience in diagnosis and treatment of pulmonary tuberculosis complicated by diabetes and to reduce rate of wrong diagnosis. Methods The clinical data of the diagnosis and treatment in 17 cases of pulmonary tuberculosis were studied. Those patients were complicated by diabetes and misdiagnosed lung cancer in our hospital from 2004 - 2006. Results Clinical symptom and accessorial examination of the patients of pulmonary tuberculosis complicated by diabetes was not typical. Pathologi- cal changes showed shadow of conglomeration gobbet. Conclusion Patients with pulmonary tuberculosis deteriorate when combined with diabetes, lung biopsy seems to be the best way of examination.

关 键 词：肺结核 糖尿病 误诊 肺癌 

分 类 号：R587.1[医药卫生—内分泌] R651.15[医药卫生—内科学]