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目的分析我院收治的56例误诊的老年肺结核患者,提高老年肺结核的诊断水平,降低误诊率。方法对56例误诊的老年肺结核患者的症状、体征、痰涂片找结核杆菌及PPD试验、血沉、胸片、胸部CT及病灶等进行病情分析。结果老年肺结核的病人中误诊为肺炎24例(42.86%)、慢性支气管炎12例(21.43%)、支气管扩张7例(12.50%)、支气管哮喘7例(12.50%)、肺癌4例(7.14%)、肺脓肿2例(3.57%)。结论提高对老年肺结核诊断的认识及重视,综合运用病史、常规实验室检查、PPD试验、痰菌检查、纤维支气管镜检查、诊断性治疗等手段,可以明显降低老年肺结核误诊率。
Objective To analyze 56 cases of misdiagnosed elderly patients with pulmonary tuberculosis admitted to our hospital, to improve the diagnosis of senile pulmonary tuberculosis and to reduce the rate of misdiagnosis. Methods 56 cases of misdiagnosed senile pulmonary tuberculosis patients with symptoms, signs, sputum smear tuberculosis and PPD test, ESR, chest radiograph, chest CT and lesions were analyzed. Results Among the elderly patients with pulmonary tuberculosis, 24 cases were diagnosed as pneumonia (42.86%), 12 cases (21.43%) with chronic bronchitis, 7 cases (12.50%) with bronchiectasis, 4 cases with lung cancer (7.14% ), Lung abscess in 2 cases (3.57%). Conclusions To improve the diagnosis and diagnosis of senile pulmonary tuberculosis, the misdiagnosis rate of senile pulmonary tuberculosis can be significantly reduced by comprehensively using history, routine laboratory test, PPD test, sputum bacterium examination, bronchoscopy and diagnostic treatment.