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成人原发型肺结核临床较少见,极易误诊。本文对我院1980年~1989年间误诊的12例作一回顾性分析。临床资料一、病例选择:成人原发型肺结核均按结核综合诊断标准,选择摄取正侧位胸片、断层证实为肺门淋巴结肿大或伴有肺部浸润病灶,经结核菌素试验、痰检、颈淋巴结取材病检确诊,并经抗痨治疗痊愈的病人。此组病人在门诊或住院1月以上未考虑到结核和未按结核治疗者为误诊,最长误诊时间为3个月。二、性别和年龄:男性8例,女性4例;20~34
Primary pulmonary tuberculosis in adults is rare and easily misdiagnosed. This article made a retrospective analysis of 12 cases misdiagnosed in our hospital from 1980 to 1989. Clinical data A case selection: adult primary pulmonary tuberculosis according to tuberculosis comprehensive diagnostic criteria, the choice of positive lateral chest radiography, confirmed by hilar lymphadenopathy or pulmonary infiltration lesions, tuberculin test, sputum Check, cervical lymph node specimens diagnosed and cured by anti-tuberculosis treatment of patients. This group of patients in the clinic or hospitalized more than 1 month did not take into account tuberculosis and tuberculosis were not treated as misdiagnosed, the longest misdiagnosis time of 3 months. Second, gender and age: 8 males and 4 females; 20 ~ 34