论文部分内容阅读
为探讨不典型尘肺病与结核病的鉴别诊断,回顾性分析59例尘肺病与结核病不典型病例的临床、实验室检查及影像学表现。结果显示,尘肺病例中低热、盗汗16例(37.2%),胸痛35例(81.4%),痰菌均阴性;16例肺结核中低热及盗汗4例(25%),咳嗽、咳痰、胸痛7例(43.7%),PCR均有异常,PPD均阳性,痰菌阳性3例(18.7%);14例壹期尘肺、7例贰期尘肺、22例叁期尘肺误诊为肺结核;16例肺结核误诊为尘肺病。提示,对于临床、影像表现以及相关实验室检查不典型的尘肺病与肺结核进行鉴别诊断时,在综合考虑各种诊断依据的同时需重视CT特别是HRCT的作用。
To investigate the differential diagnosis of atypical pneumoconiosis and tuberculosis, the clinical, laboratory and radiographic findings of 59 cases of atypical pneumoconiosis and tuberculosis were retrospectively analyzed. The results showed that there were 16 cases (37.2%) of pneumoconiosis, 35 cases of chest pain (81.4%), sputum negative in 16 cases of pneumoconiosis, 4 cases of low fever and night sweats (25%), cough, sputum and chest pain (43.7%), PCR were abnormal, PPD were positive, sputum positive in 3 cases (18.7%); 14 cases of pneumoconiosis, 7 cases of pneumoconiosis II, 22 cases of triple pneumoconiosis misdiagnosed as tuberculosis; 16 cases of pulmonary tuberculosis misdiagnosis For pneumoconiosis. Tip, for clinical, imaging performance and related laboratory tests are not typical pneumoconiosis and tuberculosis differential diagnosis, comprehensive consideration of a variety of diagnostic basis should pay attention to the role of CT, especially HRCT.