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目的探讨肺结核合并肺癌的临床特征和其主要的误诊原因,为更好地诊断方法打下基础。方法利用病例回顾性分析方法 ,将在本院于2011年1月1日~2012年12月31日这段时间诊治的总计98例肺结核合并肺癌患者的临床资料进行研究和比较分析。观察总结肺结核合并肺癌患者的临床特点,根据不同误诊情况,总结误诊原因。结果最为主要的临床特征为咳嗽与咳痰、反复咳血、进行性消瘦、胸痛与胸闷,所占比例依次为71.43%、67.35%、62.24%、52.04%。误诊例数34例,占34.69%。结论通过对本院收治的肺结核合并肺癌患者临床特征进行分析,总结了相应的误诊原因,加强此病的诊断,有效改善预后,能够保障患者生存质量。
Objective To investigate the clinical characteristics of pulmonary tuberculosis complicated with lung cancer and its main causes of misdiagnosis, so as to lay a foundation for better diagnosis. Methods The clinical data of 98 patients with pulmonary tuberculosis complicated with lung cancer who were diagnosed and treated in our hospital from January 1, 2011 to December 31, 2012 were studied and compared by retrospective case analysis. To observe and summarize the clinical features of patients with pulmonary tuberculosis complicated with lung cancer, according to different misdiagnosis, summarize the causes of misdiagnosis. Results The most important clinical features were cough and expectoration, repeated hemoptysis, progressive weight loss, chest pain and chest tightness, with the proportions of 71.43%, 67.35%, 62.24% and 52.04%, respectively. 34 cases misdiagnosed, accounting for 34.69%. Conclusions The clinical features of patients with pulmonary tuberculosis complicated with lung cancer admitted to our hospital were analyzed. The corresponding causes of misdiagnosis were summarized, the diagnosis of the disease was improved, the prognosis was improved effectively, and the quality of life of the patients was ensured.