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肺结核病是一种严重危害人类健康的慢性传染病,由于肺部疾病种类繁多,临床表现各异,加之患者自身因素,往往易造成误诊、漏诊。现对我县1992年以来市、县综合医院和部分乡镇医院转诊并经调查核实资料齐全的98例活动性肺结核延误诊断因素进行分析。本组98例,男59例,女39例,年龄最大81岁,最小7岁,60岁以下占62例。纵隔、支气管及肺门淋巴结核8例;急性粟粒性结核3例;浸润型肺结核67例,其中大片状、絮状模糊阴影36例;椭圆形块状影12例;空洞或囊性空洞12例;双肺及双下肺多发性结节影7例。延误时间:1个月内18例;1～3个月37例;3～6个月21例;6～12个月13例;1～1.
Tuberculosis is a chronic infectious disease that seriously endangers human health. Due to the wide range of pulmonary diseases and clinical manifestations, combined with the patient’s own factors, it is often easy to cause misdiagnosis and missed diagnosis. Now I County County since 1992, county general hospital and part of the township hospital referral and investigation and verification of complete information of 98 cases of active tuberculosis delay diagnostic factors were analyzed. The group of 98 patients, 59 males and 39 females, the oldest 81 years old, the youngest 7 years old, 60 years of age accounted for 62 cases. Mediastinal, bronchial and hilar lymphoid tuberculosis in 8 cases; acute miliary tuberculosis in 3 cases; infiltrative pulmonary tuberculosis in 67 cases, including large flaky, flocculent fuzzy shadow in 36 cases; oval massive shadow in 12 cases; empty or cystic cavity 12 Cases; double lung and double pulmonary nodules in 7 cases. Delayed time: 18 cases in 1 month; 37 cases in 1 ~ 3 months; 21 cases in 3 ~ 6 months; 13 cases in 6 ~ 12 months;