支气管肺泡癌误诊粟粒型肺结核46例分析

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本人对1995-01-2010-12我院收治的支气管肺泡癌误诊粟粒型肺结核46分析如下。1临床资料1.1一般资料本组男34例,女12例,年龄35~83(平均55.5)岁,50岁以上33例,占71.74%,所有病例均有发热、乏力、纳差、咳嗽、咳痰、活动后气急,其中有盗汗18例,咯血9例,胸痛12例。1.2有关检查结果PPD试验阳性21例,血沉增高35例,血清结核抗体阳性22例,X线胸片均有双肺弥漫性粟粒状阴影。1.3误诊过程门诊和入院诊断均为两肺粟粒型肺结核,经 I on 1995-01-2010-12 admitted to our hospital bronchial alveolar carcinoma misdiagnosed miliary tuberculosis 46 analysis is as follows. 1 Clinical data 1.1 General Information The group of 34 males and 12 females, aged 35 to 83 (average 55.5) years old, 33 patients over the age of 50, accounting for 71.74%, all cases were fever, fatigue, anorexia, cough, cough Phlegm, shortness of breath after activity, of which 18 cases of night sweats, hemoptysis in 9 cases, 12 cases of chest pain. 1.2 The results of the test PPD test was positive in 21 cases, 35 cases of elevated erythrocyte sedimentation rate, 22 cases of serum TB antibody positive, both chest X-ray diffuse millicar shadow. 1.3 misdiagnosis process Outpatient and hospital diagnosis of both lung miliary tuberculosis, by
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