不典型下肺叶结核58例分析  

Retrospective analysis of 58 patients with atypical pulmonary tuberculosis in lower field

作　　者：聂恭军 孙彦华 

机构地区：[1]吉林市丰满结防所呼吸科,132013

出　　处：《中国实用医药》2008年第22期37-38,共2页China Practical Medicine

摘　　要：目的探讨不典型下肺叶结核的临床表现、X线诊断及鉴别诊断。方法回顾性分析58例下肺叶结核患者的临床及影像资料。男35例,女23例,好发于青壮年,18~35岁者占83%。结果X线检查发现病灶位于下叶背段最多;病灶性质包括渗出性病灶（45%）、增殖病灶（18%）、混合性病灶（37%）;主要形态有小叶肺炎型、浸润型、团块型、肺脓肿型和支气管播散型。结论X线正侧位胸片检查对下肺叶结核诊断有较高价值,但仍有部分病例须结合其它检查手段确诊。Objective To explore the clinical and the chest X ray features in patients with atypical pul-monary tuberculosis in lower field. Methods Review of clinical data and the chest X ray features in 58 patients with pulmonary tuberculosis in lower field. 35 cases were male,23 cases were female, 83 % of patients were youth and middle age. Results According to the chest X ray film findings, atypical pulmonary tuberculosis was mostly locating in dorsal segment of lower lobe, its propertys included effusion lesion （45%）, proliferation lesion （18%）, mixing property lesion （37%） ; its patterns included lobular pneumonia type, infiltration type, noddle type,pulmonary abscess type and bronchial dissemination type. Conclusion The chest X ray is a effective method in the diagnosis of atypical pulmonary tuberculosis in lower field, however other methods are still selected in some patients.

关 键 词：结核 肺 放射摄影术 X线 

分 类 号：R521[医药卫生—内科学] R816.8[医药卫生—临床医学]