临床误诊误治2017，Vol.30Issue(2)：1-3,3.DOI:10.3969/j.issn.1002-3429.2017.02.001
不典型肺结核误诊为肺炎15例临床分析
Clinical Analysis of 15 Patients with Atypical Pulmonary Tuberculosis Misdiagnosed as Having Pneumonia
摘要
Abstract
Objective To investigate clinical characteristics, causes of misdiagnosis and treatment, and prevention methods for atypical pulmonary tuberculosis. Methods Clinical data of 15 patients with atypical pulmonary tuberculosis mis-diagnosed as having pneumonia admitted from January to December 2015 was retrospectively analyzed. Results The misdiag-nosed rate was 15. 63%. All the 15 patients were admitted for cough and expectoration associated by fever, and were all mis-diagnosed as having pneumonia, and the average time of misdiagnosis was 6-8 d, and then all patients were given anti-infec-tion and symptomatic treatment, but the effects were poor. Pulmonary tuberculosis was confirmed in 11 patients after sputum samples showed acid-fast bacillus ( + + +) for many times; other 4 patients had negative results of acid-fast bacillus, and pulmonary tuberculosis was confirmed by fiber bronchoscope and transbronchial lung biopsy (TBLB). The 15 patients were transferred to tuberculosis specialist hospital, and all patients were cured after anti-tuberculosis treatment. Conclusion Cli-nicians should improve knowledge and imaging discrimination of atypical pulmonary tuberculosis, comprehensively analyze chest imaging features and carefully ask medical history and conditions of patients and give relevant examinations as early as possible in order to confirm diagnosis early for patients with similar symptoms.关键词
结核,肺/误诊/肺炎Key words
Tuberculosis/pulmonary/Misdiagnose/Pneumonia分类
医药卫生引用本文复制引用
高阳,杨帆..不典型肺结核误诊为肺炎15例临床分析[J].临床误诊误治,2017,30(2):1-3,3.基金项目
四川省卫生厅2012 年科研课题资助项目(120116) （120116）
