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纤支镜检查和支气管活检,证实为支气管内膜结核46例。女多于男,61%为39岁以下的患者,咳嗽、发热、咳血为主要症状。85%患者胸部X线呈现肺部浸润或肺不张改变。纤支镜下主要特征是支气管粘膜充血水肿表面有白色覆盖物的肉芽肿形成和支气管狭窄。有52%患者误诊为支气管肺癌、肺脓肿或慢性炎症。表明纤支镜检查、活检,对支气管内膜结核有重要诊断意义。
Bronchoscopy and bronchial biopsy confirmed bronchiectasis in 46 cases. More women than men, 61% of patients under 39 years of age, cough, fever, hemoptysis as the main symptoms. 85% of patients with chest X-ray showed pulmonary infiltrates or atelectasis. The main feature under bronchoscopy is the formation of granulomas and bronchoconstriction with a white covering on the surface of bronchial mucosal congestion and edema. 52% of patients misdiagnosed as bronchial lung cancer, lung abscess or chronic inflammation. That bronchoscopy, biopsy, bronchial tuberculosis has important diagnostic significance.