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肺曲霉菌病(pulmonary aspergillosis,是一种少见的肺部疾病,由于普遍不熟悉本病,造成漏诊或误诊屡见不鲜。本文报告3例误诊为肺结核的肺曲霉菌病例,经纤支镜检查而确诊;最后手术、病理证实。病例介绍例1 以畏寒、发热、咳嗽、胸痛、少量咯血起病,外院诊断为肺结核,用异烟肼、链霉素、(PAS)抗痨及对症止血治疗,6个月后病变有吸收而出院。出院后仍间歇咯血,2个月后大咯血1次(600毫升/日)而入我院。诊断为Ⅱ(上°)/(-),涂片(-)进展期。投利福平,乙胺丁醇抗痨治疗。入院2个月后行纤维
Pulmonary aspergillosis (pulmonary aspergillosis), a rare lung disease, is commonly seen as a cause of misdiagnosis or misdiagnosis due to a general lack of familiarity with the disease.3 cases of pulmonary aspergillosis misdiagnosed as pulmonary tuberculosis were reported in this paper and were confirmed by bronchoscopy ; The last surgery, pathology confirmed. Case description Example 1 chills, fever, cough, chest pain, a small amount of hemoptysis onset, the hospital diagnosed with tuberculosis, with isoniazid, streptomycin, (PAS) Six months after the lesion was absorbed and discharged, there was intermittent hemoptysis after discharge and massive hemoptysis (600 ml / day) after 2 months into our hospital.The diagnosis was Ⅱ (upper) / (-), smear -) Progressive cast vote Fuping, ethambutol anti-tuberculosis treatment .2 months after admission line fiber