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肺结核是一种常见呼吸系统疾病,X线检查对肺结核诊断极为重要,但在药物治疗中出现“暂时性”X线恶化征象,往往不被认识。本文就肺结核病人服用抗痨药物中出现“暂时恶化”的X线表现进行分析,以求提高对肺结核的正确诊断和治疗。肺结核治疗首选三联药物,即口服利福平、雷米封,加肌肉注射链霉素,口服药物吸收后对结核菌有很强的杀菌作用,痰中结核菌也随之减少或转阴性。但从开始用药10～15天内,少数病人出现肺内病变进展,在X线上病灶有不同程度“恶化”,如出现胸膜炎或淋巴肿大,周围病灶增多增大。其发生率国
Tuberculosis is a common respiratory disease. X-ray examination is very important for the diagnosis of pulmonary tuberculosis. However, it is often not recognized that “temporary” X-ray signs of deterioration appear during medical treatment. In this paper, tuberculosis patients taking anti-tuberculosis drugs appear “temporary deterioration” of the X-ray performance analysis, in order to improve the correct diagnosis and treatment of tuberculosis. TB treatment preferred triple drugs, that is, oral rifampicin, Remy sealed, plus intramuscular injection of streptomycin, oral drug absorption has a strong bactericidal effect on TB, sputum TB also reduce or negative. However, 10 to 15 days from the beginning of medication, a small number of patients with lung disease progression in the X-ray lesions have varying degrees of “deterioration”, such as the emergence of pleurisy or lymph nodes, the surrounding lesions increased. The incidence of the country