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一般认为,支气管内膜结核(EBTB)的胸部 X线表现可正常,或孤立地存在于肺下部或上叶的前段,此发现表明进行性的原发肺结核可以与支气管癌表现相似,可致延误诊断及治疗。作者报告4例老年 EBTB 患者.男1,女3例.主要表现为咳嗽、厌食、体重减轻,均有1个月以上病史,其中2例咯血,1例呼吸困难,1例有喘鸣.胸部 X 线检查:3例分别在两侧肺上叶有实变,其中1例有右肺门肿块;1例左肺门突出,纵隔增宽;另1例 X 线检查完全正常.支气管镜检查分别表现为①色素沉着的息肉样肉芽肿,②伴有溃疡的鹅卵石样管腔
It is generally believed that chest X-ray findings of bronchial intima tuberculosis (EBTB) can be normal or exist in the anterior part of the lower lung or upper lobe in isolation. This finding suggests that progressive primary pulmonary tuberculosis may perform similarly to bronchial carcinoma and may cause delays Diagnosis and treatment. The authors report 4 elderly patients with EBTB, male 1 and female 3. The main manifestations of cough, anorexia, weight loss, have more than 1 month history, including 2 cases of hemoptysis, 1 case of dyspnea, 1 case of wheezing. X-ray examination: three cases of the upper lobe of the lung on both sides of the consolidation, including 1 case of right hilar mass; 1 case of left hilar protrusion, mediastinal widening; the other 1 case was completely normal X-ray examination bronchoscopy The performance of ① pigmented polypoid granuloma, ② pebbles with ulcer-like lumen