32例不典型肺结核的误诊分析  

Analyzing on Misdiagnosia of 32 Patients with Atypical Pulmonary Tuberculosis

作　　者：田文举[1] 

机构地区：[1]安阳市结核病防治所,河南安阳455000

出　　处：《四川解剖学杂志》2010年第1期10-11,共2页Sichuan Journal of Anatomy

摘　　要：目的分析32例不典型肺结核X片及CT误诊的原因,提高其诊断水平。方法32例均摄胸部正、侧X片,其中27例同时行胸部增强CT,其结果与最后诊断结果对照,分析误诊原因。结果32例不典型肺结核中,胸部X片及CT误诊为肺癌10例,错构瘤1例、炎性假瘤1例、肺炎、肺脓肿20例;误诊病例中呈结节及肿块病灶9例,厚壁空洞4例,肺段、肺叶阴影19例。结论不典型部位肺结核易误诊,过重强调肺结核的好发部位与年龄、病史不全面、经验不足是造成误诊的主要原因。Objective To investigate X- ray and CT characteristics of atypical pulmonary tuberculosis in 32 patients,improveing the diagnosis level. Methods All of the 32 patients in this study Were performed chest X-ray , 27 of them were performed chest CT scan. We compared the image diagnosis and final diagnosis. Results Among the 32 patients with atypical pulmonary tuberculosis, 10 cases were misdiagnosis as lung cancer, one cases was hamartoma, one cases was mistake lump, pneumonia and lung abscess in 20 cases. The lesions on X-line and CT films appeared as nodules and masses in 9 cases, thick mall is empty 4 cases , pulmonary segmental and lobar shadows in 19 cases. Conclusion It is easy to misdiagnosis the atypical pulmonary tuberculosis overweight to emphasize phthisical of good hair part and age, not and patiently inquire the disease history and experience lack.

关 键 词：肺结核 误诊 少见部位 放射摄影术 

分 类 号：R521[医药卫生—内科学]