临床误诊误治2017，Vol.30Issue(6)：18-21,4.DOI:10.3969/j.issn.1002-3429.2017.06.007
骨化性气管支气管病并肺结核漏诊原因分析并文献复习
Analysis of Missed Diagnosis Causes of Tracheobronchopathia Osteochondroplastica Complicated by Pulmonary Tuberculosis and a Literature Review
摘要
Abstract
Objective To investigate clinical characteristics and missed diagnosis causes of tracheobronchopathia osteochondroplastica (TO) complicated by pulmonary tuberculosis (PTB) in order to improve levels of diagnosis and treatment.Methods Clinical data of 1 patient with TO complicated by PTB was retrospectively analyzed.Results The patient visited a doctor for repeated cough and expectoration for one and a half years, and aggravation associated by chest pain for 1 month.He had been diagnosed as having trachea-bronchus tuberculosis combined with pulmonary tuberculosis in other hospital, and was treated with anti-tuberculosis drugs and bronchoscopic cryotherapy and local drug injection, but his symptoms did not be relieved.He was confirmed the diagnosis of TO complicated by right upper pulmonary tuberculosis by tuberculin test, tuberculosis-antibody test, chest CT, bronchoscopy and biopsy pathological examinations in our hospital, and treatments of anti-tuberculosis drugs and bronchoscopic argon ion laser were given, and then the patient discharged after his symptoms had improved.Anti-tuberculosis treatment was given continuously after discharge, and no new lesions were found by regularly review.Conclusion It is the key to performing high-resolution chest CT test, bronchoscopy and multiple times and positions of biopsy pathological examinations in diagnosis of highly suspected TO patients.关键词
骨化性气管支气管病/肺结核/漏诊Key words
Tracheobronchopathia osteochondroplastica/Pulmonary tuberculosis/Missed diagnosis分类
医药卫生引用本文复制引用
曹仕鹏,李春香,李爱美,刘超群..骨化性气管支气管病并肺结核漏诊原因分析并文献复习[J].临床误诊误治,2017,30(6):18-21,4.基金项目
"十二五"国家科技重大专项课题(2013ZX10005004) （2013ZX10005004）
