临床误诊误治2018，Vol.31Issue(6)：7-9,3.DOI:10.3969/j.issn.1002-3429.2018.06.003
支气管结核六例误诊病例剖析
Analysis of Misdiagnosis of Six Cases of Bronchial Tuberculosis
摘要
Abstract
Objective To investigate clinical features of bronchial tuberculosis ( BT) and the causes of mis-diagnosis. Methods The clinical data of 6 cases of BT misdiagnosed as pneumonia in our hospital were analyzed retrospectively. Results Of 6 patients in this group, 3 patients were admitted for cough, expectoration and fever for 3-6 days, 1 for cough, expectoration and disturbance of consciousness for 2 days, and 2 for cough with dyspnea for 3-5 days. They were misdiagnosed as pneumonia, and the misdiagnosis duration of this group was 5-14 ( 6. 24 +3. 56) d. However, the symptoms were not improved after symptomatic treatment. All patients were further diag-nosed as BT by fiberoptic bronchoscopy and microscopic biopsy of bronchial mucosa, including 4 cases that received left lower lobe bronchial resection combined with anti-tuberculosis treatment, and 2 cases were transferred to local hospitals for tuberculosis control and treatment. They were followed up for 1-3 months, and reported stable condition. Conclusion BT should be considered in those with persistent cough and expectoration. Early bronchoscopy is the key to avoid or reduce the misdiagnosis.关键词
结核/支气管/误诊/肺炎Key words
Tuberculosis/Bronchi/Misdiagnosis/Pneumonia分类
医药卫生引用本文复制引用
谭敏,赵川,王文平..支气管结核六例误诊病例剖析[J].临床误诊误治,2018,31(6):7-9,3.基金项目
四川省卫生厅科研课题(140106) （140106）
