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临床上由于某些疾病开始时的临床表现可类似结核性胸膜炎,因此造成误诊。现将我们在近4年内见到的6例经病理或实验室检查证实为非结核性胸膜炎而误诊为结核性胸膜炎的病例,报告如下:例1 患者,女,51岁,住院号98377,1980年9月因畏寒发热,咳嗽咳痰,两侧胸部疼痛于10月5日入院。入院诊断为两侧结核性胸膜炎,经抗结核药物,激素治疗后好转出院。1981年9月又因头痛畏寒发热,气促,X 线检查左侧有少量胸腔积液,诊断为结核性胸膜炎再次入院。入院时实验室检查:血沉124mm/hr,血红蛋白7g,白细胞4800,尿蛋白(+),红、白细胞少量,颗粒管型0～1/HP,
Clinically, the clinical manifestations of certain diseases may be similar to tuberculous pleurisy at the outset, leading to misdiagnosis. We have seen in the past 4 years, 6 cases of pathological or laboratory tests confirmed non-tuberculous pleurisy misdiagnosed as tuberculous pleurisy cases are reported as follows: Example 1 patients, female, 51 years old, hospital number 98377, 1980 In September due to chills fever, cough and sputum, chest pain on both sides admitted to hospital on October 5. Admitted to diagnosis of tuberculous pleurisy on both sides, the anti-TB drugs, hormone therapy improved after discharge. 1981 September because of headache chills fever, shortness of breath, left side of the X-ray examination a small amount of pleural effusion, diagnosis of tuberculous pleurisy again hospitalized. Laboratory examination on admission: ESR 124mm / hr, hemoglobin 7g, white blood cells 4800, urinary protein (+), red, small white blood cells, granular tube 0 ~ 1 / HP,