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我科自1995年2月至1996年12月共收治肺结核患者342例。我们对其中24例疑为支气管内膜结核患者进行纤维支气管镜(纤支镜)检查,并通过病理活检确诊为支气管内膜结核,现总结分析如下。 1 临床资料 1.1 一般资料 24例患者中男5例,女19例,男3.8,年龄20～65岁,平均42.2岁。女为1 1.2 主要症状和体征 低热、盗汗、纳差各20例,占83.33％;咳嗽18例,占75％;咳痰10例,占41.67％;咯血、胸痛各6例,占25％;呼吸困难、胸闷各8例,占33.33％。除2例合并有肺不张体征外,余均无明显阳性体征。1.3 痰结核分支杆菌检查 痰涂片阳性16例,占66.67％,阴性8例,占33.33％。
Our department from February 1995 to December 1996 a total of 342 cases of tuberculosis patients admitted. We have 24 cases of suspected endobronchial tuberculosis in patients with bronchoscopy (bronchoscopy) and pathological biopsy diagnosed as endobronchial tuberculosis, are summarized as follows. 1 Clinical data 1.1 General Information 24 patients were 5 males and 19 females, males 3.8, aged 20 to 65 years, mean 42.2 years. Female 1 1.2 The main symptoms and signs of fever, night sweats, anorexia in 20 cases, accounting for 83.33%; cough in 18 cases, accounting for 75%; sputum in 10 cases, accounting for 41.67%; hemoptysis, chest pain in 6 cases, accounting for 25% Dyspnea, chest tightness in 8 cases, accounting for 33.33%. In addition to 2 cases with pulmonary atelectasis, I have no significant positive signs. 1.3 sputum sputum smear positive sputum smear 16 cases, accounting for 66.67%, negative in 8 cases, accounting for 33.33%.