我科自1982年至1987年收住肺结核病人523例,其中肺中叶结核14例,门诊误诊为肺炎、感冒各4例,因胃下垂而漏诊1例、总误漏诊率64.3％,高于其它部位肺结核。误诊时间半月到四个月不等。一、误因:①综合医院非专科医院对肺结核发病达717/10万的严重疫情及肺结核仍是常见病且有上升趋势,认识不足。②临床思 My department received from 1982 to 1987, 523 cases of tuberculosis patients, including 14 cases of tuberculosis in the middle of the leaf, misdiagnosed as pneumonia outpatient clinic, 4 cases of cold, due to gastroptosis and missed 1 case, the total misdiagnosis rate was 64.3% higher than other parts tuberculosis. Misdiagnosis time from half a month to four months. First, the error due to: ① General Hospital non-specialist hospitals of tuberculosis incidence of up to 717/10 million in severe outbreaks and tuberculosis is still common and there is an upward trend, lack of understanding. ② clinical thinking