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目的 探讨肺癌误诊为结核性胸膜炎的原因。方法 对误诊为结核性胸膜炎的 46例肺癌诊断情况进行分析。结果 全组男女之比 0 44∶1;小于 45岁病例占 2 1 7% ;均为非血性胸腔积液病例 ;有发热症状病例占 2 2 % ;全组病例首次胸水检查均未检出癌细胞 ;2 7例占位病灶为抽净胸水后检查发现。结论 肺癌误诊为结核性胸膜炎以中青年、女性患者多见 ,主要为非血性胸水病例 ,而对恶性胸水临床特点不重视是延期确诊的主要原因 ,确诊难度是决定确诊时间重要因素。
Objective To investigate the causes of lung cancer misdiagnosed as tuberculous pleurisy. Methods 46 cases of lung cancer misdiagnosed as tuberculous pleurisy were analyzed. Results The ratio of male to female in the whole group was 0 44: 1; the cases younger than 45 years old were 21.7%; all cases were non-bloody pleural effusion; the patients with fever accounted for 22%; and the first pleural effusion Cells; 27 cases of space-occupying lesions were pleural effusion after the examination found. Conclusions Misdiagnosis of tuberculosis as tuberculous pleurisy is more common in young and middle-aged women and mainly in patients with non-bloody pleural effusion. However, the lack of attention to the clinical features of malignant pleural effusion is the main reason for delayed diagnosis. The difficulty of diagnosis is an important factor in determining the diagnosis time.