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我院从1990年6月～1993年11月共收治4例长期被误诊的肺下叶结核患者,最后经纤维支气管镜(纤支镜)下刷检才获确诊。现报告如下: 例1,男,22岁。高热5天,继之咳嗽白痰胸闷1个月。抗炎治疗后症状减轻,左下肺湿罗音反增多。X线检查:左下肺背段有6cm×6cm厚壁空洞,边缘光整。纤支镜下见:左下叶各段尤其背段支气管粘膜弥漫性充血、水肿,刷检找抗酸杆菌阳性。例2,男,48岁。不规则发热40天,伴胸闷20天。抗炎治疗后体温渐降正常,但右下肺湿罗音不减,并发展至两下肺粗大湿罗音。X线检查:左下肺背段大片模糊影。CT提示两下肺炎伴胸膜增厚。纤支镜下见:两下叶基底段及左下叶背段支气管粘膜
Our hospital from June 1990 to November 1993 were treated 4 cases of long-term pulmonary tuberculosis patients were misdiagnosed, and finally by bronchoscopy (bronchoscopy) under the brush was diagnosed. The report is as follows: Example 1, male, 22 years old. High fever for 5 days, followed by cough white sputum chest tightness for 1 month. Anti-inflammatory treatment of symptoms reduced, lower left lung wet rales anti-increased. X-ray examination: the left lower lung back section of 6cm × 6cm thick walls, edge finishing. Bronchoscopy see: the left lower lobe in particular of the back of the bronchial mucosa diffuse congestion, edema, brush check positive for acid-fast bacilli. Example 2, male, 48 years old. Irregular fever 40 days, with chest tightness 20 days. After the anti-inflammatory treatment, the body temperature gradually decreased, but the right lower lung wet rales unabated and developed to two lung wet rales. X-ray examination: the back of the left lower lung block large blur. CT prompted two pneumonia with pleural thickening. Bronchoscopy see: two under the basal and left lower lobe of the bronchial mucosa