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食管结核较为罕见,国内外仅有少数病例报道,最近我们遇到一例,现结合文献,就该病的成因和临床特点分析如下: 患者女性,42岁,病案号44612。入院前两个多月无诱因出现进食不利,进食时胸骨后疼痛。入院前3周觉胸骨后进食痛渐加重,进食不利较前无明显变化。无发热、咳嗽、咯血、盗汗、声嘶等症状。既往无结核病史,但有长期肺结核接触史。体检:一般情况好,右侧锁骨上触及0.5×0.5cm质中淋巴结,活动,无疼痛,余部位表浅淋巴结未触及肿大。心肺、腹部及脊柱四肢检查均未发现异常。辅助检查:白细胞3.9
Esophageal tuberculosis is relatively rare, only a few cases at home and abroad reported, we recently encountered a case, are combined with the literature, the causes of the disease and clinical features are analyzed as follows: Female patient, 42 years old, case number 44,612. More than two months before admission, there is no incentive to eat negative, post-sternal pain when eating. 3 weeks before admission, the chest pain after eating gradually aggravate, no significant adverse changes before eating. No fever, cough, hemoptysis, night sweats, hoarseness and other symptoms. No past history of tuberculosis, but long-term history of exposure to tuberculosis. Physical examination: the general situation is good, the right side of the supraclavicular touch and 0.5 × 0.5cm mass in the lymph nodes, activity, no pain, the remaining part of the superficial lymph nodes did not touch the enlargement. Heart and lung, abdomen and spine limbs examination found no abnormalities. Auxiliary examination: white blood cells 3.9