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矽肺合并结核在病理上有分离型和结合型之分。本文根据我科42例矽肺中20例(17例尸检,3例活检)并发肺结核的病理资料进行总结,以期有所前进。一、分离型(或附加型):指肺结核病变散在于矽肺病变之间,两者基本分开,两种病损分别与通常的矽肺和结核病变一样,相互之间关系不明显。此型本组共12例。按病理所见多数为早,中期矽肺和陈旧性肺结核(肺尖或肺门淋巴结病灶)。由于属早期矽尘性组织反应的病例较多,故临床X线诊断矽肺较难,而诊断肺结核较容易,但其中一例Ⅲ期煤矽肺因误诊而作剖胸手术。
Silicosis with tuberculosis in the pathological separation and binding of the points. In this paper, 42 cases of silicosis in our department, 20 cases (17 cases of autopsy, biopsy) complicated by pulmonary tuberculosis pathological data were summarized in order to advance. First, the separation type (or additional type): Pulmonary tuberculosis is scattered between silicosis, the two are basically separated, the two lesions, respectively, and the usual silicosis and tuberculosis lesions, the relationship between each other is not obvious. This type of group a total of 12 cases. Most of the pathology seen as early, mid-term silicosis and old tuberculosis (apical or hilar lymph node lesions). Because of the early cases of silica dust tissue reaction more cases, so clinical X-ray diagnosis of silicosis more difficult to diagnose tuberculosis is easier, but a case of stage Ⅲ coal silicosis due to misdiagnosis and thoracotomy.