中国医药科学2023,Vol.13Issue(24):195-198,4.DOI:10.20116/j.issn2095-0616.2023.24.45
罕见胸膜结核瘤1例
A rare case of pleural tuberculoma
摘要
Abstract
As one of the important clinical and pathological features of tuberculous pleurisy,pleural tuberculoma is mostly secondary to tumor-like lesions in the parietal or visceral pleura after tuberculous pleurisy.Pleural tuberculosis has the characteristics of less bacteria and uneven distribution of mycobacterium tuberculosis,and pleural tuberculoma has the same characteristics,which makes the positive rate of culture,leading to difficult diagnosis.Moreover,pleural tuberculoma can widely involve the lungs,and some lesions will continue to increase in size and number,seriously affecting lung function and even resulting in necrosis and liquefaction.The leakage of liquefied necrotic fluid into the chest cavity can cause tuberculous empyema,but active and effective treatment can improve the cure rate.This paper reports a rare case of pleural tuberculoma manifesting with chest rupture.By analyzing the patient's medical history,clinical signs,diagnosis and treatment process,this paper mainly discusses the diagnosis method of pleural tuberculoma,and analyzes the clinical manifestations,pathogenesis and treatment methods of pleural tuberculoma,so as to provide experience for clinical work.关键词
胸膜结核瘤/发病机制/检测方法/临床征象Key words
Pleural tuberculoma/Pathogenesis/Detection method/Clinical signs分类
医药卫生引用本文复制引用
肖行,陈海梅,邓小彦..罕见胸膜结核瘤1例[J].中国医药科学,2023,13(24):195-198,4.基金项目
海南省卫生健康行业科研项目(21A200046). (21A200046)