临床误诊误治2019，Vol.32Issue(3)：1-4,4.DOI:10.3969/j.issn.1002-3429.2019.03.001
肺放线菌病临床回顾性分析
Clinical Retrospective Analysis of Pulmonary Actinomycosis
贾卫红 1祝阿妮 1高燕 2党治国 2杨栋才 1侯飞飞 1李楠 1路晨阳 1温鸿清 1朱艳 1刘志燕 1卜丽娜1
作者信息
- 1. 西安市第三医院呼吸内科, 710083 西安
- 2. 宝鸡市人民医院呼吸内科, 710083 西安
- 折叠
摘要
Abstract
Objective To investigate the clinical chracteristics, imaging findings, diagnosis and treatment methods, and prognosis of pulmonary actinomycosis, and to improve the level of clinical diagnosis and treatment.Methods The clinical and imaging data of 83 patients with pulmonary actinomycosis confirmed by pathology were searched from CNKI collected between March 1975 and December 2017 and retrospectively analyzed. Results The main clinical symptoms of all patients included cough with yellow purulent sputum. They were misdiagnosed at admission, with a misdiagnosis rate of 100％, and the duration of diagnosis was 3 d-8 years. Major misdiagnosed diseases were 39 cases of pneumonia, 32 cases of lung cancer, 20 cases of pulmonary tuberculosis. 9 cases of pleural effusion, 4 cases of lung abscess, 3 cases of bronchiectasis, and 3 cases of obstructive pneumonia. In addition, there were inflammatory pseudotumor and tuberculous pleurisy in 2 cases, as well as pulmonary nodules, atelectasis, pulmonary placeholder, metastatic carcinoma of both lungs, pulmonary suppurative inflammation, lung mass, congenital heart disease, and pulmonary mycosis in 1 case, respectively. After further perfecting medical examination, diagnosis of pulmonary actinomycosis was confirmed. Seventy-five patients were treated with antibiotics, and 8 patients underwent surgery alone. Of these, the condition of 78 patients was improved after treatment and 5 patients died. Conclusion Pulmonary actinomycosis has atypical clinical symptoms, therefore, appropriate examination methods are the key to reducing misdiagnosis.关键词
放线菌病,肺/误诊/肺炎/肺肿瘤/结核,肺Key words
Actinomycosis, pulmonary/Misdiagnosis/Pneumonia/Lung neoplasms/Tuberculosis, pulmonary分类
医药卫生引用本文复制引用
贾卫红,祝阿妮,高燕,党治国,杨栋才,侯飞飞,李楠,路晨阳,温鸿清,朱艳,刘志燕,卜丽娜..肺放线菌病临床回顾性分析[J].临床误诊误治,2019,32(3):1-4,4.
