以块影、不张并纵隔、肺门淋巴结肿大为表现的非结核分枝杆菌肺病1例  

A case of nontuberculous mycobacterium presenting as a mass and atelectasis with mediastinal and hilar lymph node enlargement

作　　者：李王平 陈刘林 张海涛 潘蕾 金发光 Li Wangping;Chen Liulin;Zhang Haitao;Pan Lei;Jin Faguang(Department of Pulmonary and Critical Care Medicine,Second Affiliated Hospital,The Air Force Medical University,Xi′an 710038,China)

机构地区：[1]空军军医大学第二附属医院,呼吸与危重症医学科,西安710038

出　　处：《中华结核和呼吸杂志》2024年第4期352-356,共5页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：陕西省重点研发计划(2022SF-346)。

摘　　要：随着检验技术的不断进展,非结核分枝杆菌(NTM)肺病近年检出逐渐增多,其临床特征不典型,在影像学表现多种多样,但缺乏特异性,确诊依赖于病原学检查,但常规病原学诊断困难,临床易造成漏诊和误诊。本文报道1例以块影、不张并纵隔、肺门淋巴结肿大等类似恶性肿瘤影像表现的不典型的NTM肺病,并对该疾病相关文献进行复习,以提高临床医生对该疾病的认识,拓宽临床思维。With the development of testing technology,the diagnosis of nontuberculous mycobacterium(NTM)lung disease has gradually increased in recent years.Because the clinical characteristics of NTM are not typical,and its imaging manifestations are diverse and nonspecific,missed diagnosis and misdiagnosis are common.Etiological investigation is necessary for diagnosis.Conventional etiological investigations are very limited for the diagnosis of NTM.We reported a case of NTM lung disease presenting with a mass and atelectasis with mediastinal and hilar lymph node enlargement that resembled malignant tumors.The literature on this condition was reviewed to improve the clinician′s understanding and broaden clinical thinking.

关 键 词：非结核分枝杆菌 临床思维 影像表现 临床医生 病原学诊断 病原学检查 纵隔 恶性肿瘤 

分 类 号：R563[医药卫生—呼吸系统]