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粟粒性肺结核用胸片诊断有种种困难:①粟粒状小结典型胸片所见相对发生在疾病晚期,②在小结低于察觉力阈的病例x片可正常,③早期间质型能是可非特异性的。高分辨CT(HRCT)可提供粟粒性肺结核更特异的诊断,作者回顾性分析粟粒性肺结核24例HRCT扫描和评价在处理此类患者中HRCT的临床效用。 材料和方法 复习经历HRCT粟粒性肺结核25例病历,男7例,女18例,年龄22～76岁(平均46.1岁),6/25例是免疫减弱的:糖尿病(n=2)。类固醇过量(n=3),和AIDS(n=1),诊断由发现结核分支杆菌9例[痰涂片(n=7),痰培养(n=2),腹壁脓肿培养(n=1)].经支气管肺活检(n=
Miliary tuberculosis with chest X-ray diagnosis of a variety of difficulties: ① miliary nodules typical chest X-ray seen relatively late in the disease, ② in the summary below the detection threshold of the case of x-sheet can be normal, ③ early interstitial can be non-special Heterosexual. High-resolution CT (HRCT) provides a more specific diagnosis of miliary tuberculosis. The authors retrospectively analyzed 24 patients with miliary tuberculosis with HRCT scans and evaluated the clinical utility of HRCT in the management of such patients. MATERIALS AND METHODS Review Experienced 25 cases of HRCT miliary tuberculosis, 7 males and 18 females, aged 22-76 years (average 46.1 years), 6/25 immunosuppressed: Diabetes mellitus (n = 2). (N = 3), and AIDS (n = 1) were diagnosed by Mycobacterium tuberculosis in 9 cases (sputum smear (n = 7), sputum culture (n = 2), abdominal abscess culture (n = Transbronchial lung biopsy (n =