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在临床工作中常见到将一些疾病引起胸腔积液误诊为结核性胸膜炎。现将我们近三年内遇见的,经病理、实验室检查,尸体解剖和手术证实为非结核性胸膜炎的病案6例报告如下,同时加以分析.例一、女,48岁。间断性发烧,咳痰带血二个月于1985年7月18日入院。T38.5℃,全身浅表淋巴结未触及。X 线胸片示右上肺有少量片状模糊阴影,右四肋以下有积液征象。血常规正常,血查红斑狼疮细胞8次阴性,胸水呈渗出性改变,找结核杆菌二次阴性,普通细菌培养二次阴性,查癌细胞九次阴性。
Common in clinical work will be caused by some diseases misdiagnosed as tuberculous pleurisy pleural effusion. Six cases of non-tuberculous pleurisy confirmed by pathology, laboratory examination, autopsy and operation are now reported in the following three years and analyzed as follows: Example 1. Female, 48 years old. Intermittent fever, sputum bloody two months in July 18, 1985 admission. T38.5 ℃, systemic superficial lymph nodes not touched. X-ray showed the right upper lung a small amount of flaky shadows, right below the four ribs have signs of effusion. Blood routine normal blood test lupus erythematosus cells 8 negative, pleural effusion exudate change to find the second negative Mycobacterium tuberculosis, common bacterial culture twice negative, check the cancer cells nine negative.