目前肺结核患者明显减少,但误诊病例随着病人年龄的增加而增多。一些国家的教学医院肺结核病人的入院诊断与入院后痰培养结果相对照,发现有半数是错误的,不同作者报告的肺结核病误诊率高达33—53％。我院是教学医院,未设结核专科门诊,肺结核病人由各科门诊医生自行处理。为了解该病近年的误诊情况和临床变化特点,特收集我院1975—1979年间误诊的肺结核病57例进行临床分析。 The current tuberculosis patients significantly reduced, but misdiagnosed cases increased with the patient’s age. In some countries, the diagnosis of admission to tuberculosis patients in teaching hospitals was compared with the results of sputum culture after admission. Half of them were found to be wrong. The rate of misdiagnosis of tuberculosis reported by different authors was as high as 33-53%. Our hospital is a teaching hospital, there is no tuberculosis specialist out-patient, tuberculosis patients by the outpatient clinic to deal with their own. To understand the misdiagnosis and clinical changes of the disease in recent years, 57 cases of pulmonary tuberculosis misdiagnosed in our hospital from 1975 to 1979 were collected for clinical analysis.