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血行播散型肺结核病情凶险,及时诊治是降低死亡率的关健。病人早期多数就诊于综合医院。因此,提高综合医院诊断此病水平十分重要。本资料总结了朝阳医院1958年～1982年资料完整的34例误诊、漏诊病例,以供参考。 34例确诊时胸片均有特征性1～3mm不等直径的小结节阴影,广泛分布于两肺,约1/3病例密度较高,有互相融合趋势。痰检34例中有16例查到抗酸杆菌。25例做1/2000OT试验,20例阳性。全部病例确诊后均经正规抗痨治疗,除3例死亡外,其
Hematogenous disseminated tuberculosis is dangerous, timely diagnosis and treatment is the key to reducing mortality. Early majority of patients visited a general hospital. Therefore, it is very important to raise the level of the disease in general hospitals. This information summarizes Chaoyang Hospital 1958 ~ 1982 data complete 34 cases of misdiagnosis, missed cases for reference. 34 cases were diagnosed chest radiographs have characteristic 1 ~ 3mm diameter nodules of the shadow, widely distributed in the two lungs, about 1/3 cases of higher density, there is a tendency of mutual integration. Phlegm in 34 cases found in 16 cases of acid-fast bacilli. 25 cases do 1 / 2000OT test, 20 cases were positive. All cases were diagnosed by regular anti-tuberculosis treatment, in addition to three cases of death, its