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目的分析广西地区尘肺病误诊肺结核情况。方法按照GBZ70—2009《尘肺病诊断标准》诊断。结果 152例尘肺病误诊为Ⅱ型肺结核(血行播散型肺结核)132例、Ⅲ型肺结核(继发型肺结核)10例、Ⅳ型肺结核(结核性胸膜炎)10例。结论广西各地医院门诊尘肺病误诊严重,152例误诊为肺结核的病例符合尘肺壹期58例、贰期65例、叁期29例。
Objective To analyze the misdiagnosis of pulmonary tuberculosis in pneumoconiosis in Guangxi. Methods According to GBZ70-2009 “pneumoconiosis diagnostic criteria” diagnosis. Results 152 cases of pneumoconiosis were misdiagnosed as type II tuberculosis (hematogenous disseminated tuberculosis) in 132 cases, type Ⅲ tuberculosis (secondary tuberculosis) in 10 cases, type Ⅳ tuberculosis (tuberculous pleurisy) in 10 cases. Conclusions The misdiagnosis of outpatient pneumoconiosis in hospitals in Guangxi Province is serious. The cases of 152 cases misdiagnosed as pulmonary tuberculosis coincide with 58 cases of pneumoconiosis stage Ⅰ, 65 cases of stage Ⅱ and 29 cases of stage Ⅲ.