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肝结核临床报导较少,据有关文献报告死于肺结核者约有50—80％合并肝脏结核(1)说明肝结核实际并非少见。在肝活检应用于临床前明确该病诊断确属困难,也常延误治疗。本文搜集5例肝结核病例,其中1例临床诊为肝炎因效疗差行肝穿确诊,3例因上肤部肿物行剖肤探查证实,另1例临床误诊为肝硬化腹水,尸解后明确诊断,现将死亡病例报告如下,并结合另4例做简要讨论。
Less clinical reports of liver tuberculosis, according to the literature reported that about 50-80% died of tuberculosis with liver tuberculosis (1) shows that the actual tuberculosis is not uncommon. Liver biopsy used in the clinic before the diagnosis of the disease is indeed difficult, but also often delayed treatment. This article collected 5 cases of liver tuberculosis, of which 1 case of clinically diagnosed hepatitis due to differential treatment of liver biopsy, 3 cases of skin due to the upper dermatome exploration confirmed, another 1 case of clinical misdiagnosis of cirrhosis and ascites, autopsy After a clear diagnosis, the deaths are reported as follows, combined with the other 4 cases to do a brief discussion.