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纵隔淋巴结核常被误诊为纵隔肿瘤、肺癌等,我院近年来收治7例现报告如下。 临床资料 本文报告纵隔淋巴结核7例,其中男3例,女4例,年龄18岁～36岁,中位年龄20岁。7例均经病理学检查证实(支纤镜证实1例,锁骨上及腋下淋巴结活检证实5例)。临床表现:咳嗽6例,胸痛2例,气短1例,发热7例,最短半月,最长达12月。盗汗4例,食欲欠佳4例,乏力3例,体检左锁骨上淋巴结肿大5例,双腋下淋巴结肿大1例。X线检查:双上纵隔增宽3例,右肺门影增大伴右上纵隔增宽3例,右肺门下方块影1例。支纤镜检:3例做支纤镜检查。管腔内见到新生物2例,管腔内局限性隆起充血肿胀触之易出血1例,结核菌素试验:强阳性4例,阳性3例,血沉增块5例26mm～30mm/小时,抗癌治疗1～4月无效(1月2例,2月3例,3月1例,4月1例)。
Mediastinal lymph node tuberculosis often misdiagnosed as mediastinal tumors, lung cancer, admitted to our hospital in recent years, seven cases are reported as follows. Clinical data This article reports 7 cases of mediastinal lymph node, including 3 males and 4 females, aged 18 years to 36 years old, the median age of 20 years. Seven cases were confirmed by pathological examination (fibrinoscopy confirmed in 1 case, supraclavicular and axillary lymph node biopsy confirmed in 5 cases). Clinical manifestations: 6 cases of cough, chest pain in 2 cases, shortness of breath in 1 case, fever in 7 cases, the shortest half months up to 12 months. 4 cases of night sweats, 4 cases of poor appetite, 3 cases of fatigue, physical examination of the left supraclavicular lymph nodes in 5 cases, double axillary lymph nodes in 1 case. X-ray examination: double the mediastinum widened in 3 cases, the right hilar shadow increased with the right upper mediastinum widened in 3 cases, right hilar block shadow in 1 case. Myocardial microscopy: 3 cases to do bronchoscopy. In the lumen, 2 new organisms were seen, 1 case of bleeding due to localized bulging and swelling in lumen, 1 case of tuberculin test, 4 cases of strong positive, 3 cases of positive, 5 cases of 26 cases of erythrocyte sedimentation rate increased to 30 mm / hour, Anticancer treatment was ineffective from January to April (2 cases in January, 3 cases in February, 1 case in March and 1 case in April).