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作者发现肺结核病人住院前,甚至肺部手术前未能确诊而住入一般胸科和外科的病例有所增加,因而,介绍了对27个误诊病例的回顾性分析,着重说明这批病例临床经过上的特殊和造成诊断上的困难,以致误诊的原因。 27个住院病例中,只有4例在术前疑为肺结核并经专科医师会诊转住结核科。其余23例均作为非结核性疾病而进行了肺部手术。在手术中和经过切除肺组织检查,全部确诊为肺结核;并经对照过去线片,决定其肺结核类型。作者指出,这批病例临床经过特殊,最常造成误诊的原因是浸润溶解病
The authors found an increase in the number of cases of tuberculosis patients who were hospitalized before and even failed to be diagnosed prior to lung surgery and were admitted to a general thoracic and surgical setting. Thus, a retrospective analysis of 27 misdiagnosed cases was presented, highlighting the clinical course of these cases On the special and cause diagnostic difficulties, resulting in misdiagnosis. Of the 27 inpatient cases, only 4 were suspected of having tuberculosis preoperatively and were referred to tuberculosis by specialist consultation. The remaining 23 patients underwent lung surgery as a non-tuberculous disease. During surgery and after resection of the lung tissue examination, all diagnosed as tuberculosis; and after the control of the past, determine the type of tuberculosis. The authors note that the specific clinical practice of these cases, the most common cause of misdiagnosis is infiltration of lytic disease