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综合医院对不典型肺结核病例误诊较多。笔者统计两所综合医院1994~1997年10月间,首次住院的肺结核患者中69例误诊病例报告如下。1 临床资料1．1 一般资料男42例,女27例。30岁以下30例,占43.5%;31~59岁19例,占27.5;60岁以上20例,占29%。其中年龄最小17岁,最大者76岁,均为初发肺结核首次住院患者。1．2 人院时主要症状发热42例,占60%(其中体温高达39℃~40℃者14例,占30%)。咳嗽、咳痰53例,占76%。胸痛、胸闷18例,占26%。咯血24例,占34.8%。喘息及心悸6例,占8.7%。多饮、消瘦、烦躁4例,占5.8%。乏力12例,占17.4%。
General Hospital of atypical cases of pulmonary tuberculosis misdiagnosis more. The author statistics two general hospitals from 1994 to 1997 October, the first hospitalized cases of pulmonary tuberculosis in 69 cases of misdiagnosed cases are as follows. 1 clinical data 1.1 General Information 42 men and 27 women. 30 under 30 years old, accounting for 43.5%; 31 to 59 years in 19 cases, accounting for 27.5; 60 years of age in 20 cases, accounting for 29%. The youngest 17 years old, the largest of 76 years old, are the first hospitalized patients with initial pulmonary tuberculosis. 1.2 The main symptoms of fever were 42 cases, accounting for 60% (of which 39 as high as 39 ℃ ~ 40 ℃ in 14 cases, accounting for 30%). Cough, sputum 53 cases, accounting for 76%. Chest pain, chest tightness in 18 cases, accounting for 26%. Hemoptysis in 24 cases, accounting for 34.8%. Breathing and palpitations in 6 cases, accounting for 8.7%. Drink more, weight loss, irritability in 4 cases, accounting for 5.8%. 12 cases of fatigue, accounting for 17.4%.