食管结核一例并诊治过程分析  

Analysis of one case of esophageal tuberculosis and its diagnosis and treatment

作　　者：陈凯丽 王小辉[1] 林明贵 陈虹[2] CHEN Kai-li;WANG Xiao-hui;LIN Ming-gui;CHEN Hong(Department of Infectious Diseases,Beijing Tsinghua Changgung Hospital,Shool of Clinical Medicine,Tsinghua University,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院,清华大学临床医学院感染性疾病科,102218 [2]清华大学附属北京清华长庚医院,清华大学临床医学院肝胆胰移植中心,102218

出　　处：《中国防痨杂志》2020年第12期1349-1351,共3页Chinese Journal of Antituberculosis

摘　　要：食管结核较为罕见。大部分临床医师对该病的临床症状、辅助检查及鉴别诊断认识不足,难以快速明确诊断,极易误诊为食管癌。作者报道了1例肾移植术后患者,主诉为胸痛,胃镜病理检查及分子生物学诊断技术(聚合酶链反应反向斑点杂交技术)证实为食管结核,给予抗结核药品治疗后获得治愈。因此提示,加强对食管结核的诊断及鉴别诊断的认识可提高诊断水平,对于减少误诊及改善患者的预后具有重要作用。The incidence of esophageal tuberculosis is relatively low,which has been rarely reported.Clinical symptoms,auxiliary examination and differential diagnosis of esophageal tuberculosis have been poorly understood.It is highly likely to be misdiagnosed as esophageal carcinoma.In this paper,the author report one patient with chest pain after renal transplantation,who was confirmed to have esophageal tuberculosis by gastroscopy and molecular diagnosis technology(polymerase chain reaction-reverse dot line hybridization assay),and was cured by antituberculotic drugs.This case prompts that strengthen the understanding of the diagnosis and differential diagnosis of esophageal tuberculosis can improve the level of diagnosis,and plays a pivotal role in reducing misdiagnosis and improving clinical prognosis of patients.

关 键 词：食管疾病 结核 病例报告 总结性报告(主题) 

分 类 号：R523[医药卫生—内科学]