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支气管内膜结核并非少见,但由于该病胸片表现不典型或正常,常易被忽视,容易造成误诊和漏诊。因此,我院于1995～1997年间对反复痰涂片抗酸杆菌阴性,而X线不典型或胸片正常的22例可疑支气管内膜结核患者,进行纤支镜刷片及病理检查,现报告如下。 1 资料和方法 1.1 病人来源:22例中男17例,女5例,年龄22～68岁(平均40.6岁)。临床症状:刺激性干咳9例;咳嗽、痰白量少8例;胸闷、气短、咳嗽及痰带血丝6例;不规则低热4例。胸部正侧位片:(1)胸片正常6例;(2)局部散在或孤立病灶7例;(3)肺不张2例;(4)双下肺纹理紊乱2例及其5例。 1.2 检查方法:采用Olympus BF—P_(10)纤支镜,术前禁食水12小时,术前半小时肌肉注射阿托
Bronchial endometrial tuberculosis is not uncommon, but because the disease is not typical or normal chest X-ray, often easily overlooked, likely to cause misdiagnosis and missed diagnosis. Therefore, our hospital in 1995 to 1997 repeatedly sputum smear acid-fast bacilli, and X-ray atypia or chest X-ray of 22 cases of suspected endobronchial tuberculosis patients, bronchoscopy brush and pathological examination, the report is now as follows. 1 Materials and Methods 1.1 Patient Source: 22 cases of 22 males and 5 females, aged 22 to 68 years (mean 40.6 years). Clinical symptoms: irritating cough in 9 cases; cough, phlegm less in 8 cases; chest tightness, shortness of breath, cough and sputum bloodshot in 6 cases; irregular fever in 4 cases. The chest is the lateral radiographs: (1) 6 cases of normal chest radiograph; (2) local scattered or isolated lesions in 7 cases; (3) atelectasis in 2 cases; (4) double lower lung texture disorders in 2 cases and 5 cases. 1.2 Inspection Methods: Olympus BF-P_ (10) fiberoptic bronchoscopy, preoperative fasting water for 12 hours before surgery, half an hour intramuscular injection of Atto