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将我院经尸解诊断为结核病而临床误诊的三例报告如下,以从中吸取教训。例1:女,84岁。因慢性咳嗽十余年,4个月前胸片疑为“肺癌”,近3月咳嗽加重伴黄疸,于1985年1月10日入院。既往无结核病史。入院后体温37.5℃,双肺下部可闻细湿啰音。WBC 13.9×10~9～25.9×10~9/L,分叶0.75～0.81,杆状0.08～0.15。X线胸片:左肺密度明显增高,伴散在片状影,第二前肋有横行致密影;右肺散在小点片模糊影。考虑肺部炎症伴左肺部分不张。血沉18mm/1h。予以抗炎治疗无
Three cases of clinical misdiagnosis diagnosed as tuberculosis by autopsy in our hospital are as follows, to learn from them. Example 1: Female, 84 years old. Chronic cough for more than ten years, 4 months ago suspected chest “lung cancer”, cough increased in recent March with jaundice, on January 10, 1985 admission. No past history of tuberculosis. After admission, body temperature 37.5 ℃, lower lungs can smell fine wet rales. WBC 13.9 × 10 ~ 9 ~ 25.9 × 10 ~ 9 / L, leaf 0.75 ~ 0.81, rod 0.08 ~ 0.15. X-ray: the left lung density was significantly increased, with scattered in the film-like shadow, the second front ribs have a rampant dense shadow; scattered in the right lung scattered dot film. Consider lung inflammation with left lung partial atelectasis. ESR 18mm / 1h. To be anti-inflammatory treatment without