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近年,结核病的发病率有增高的趋势,于日常诊疗中罹患粟粒性结核的病例并非少见。此种病例常常是咯痰少,且痰中查不到结核菌。作者对这些病例进行了支气管肺活检,并分析其在临床上的应用价值。本院收治的7例患者(年龄24～78岁平均51岁)经胸部X线摄影,两肺显示弥漫性粟粒阴影。咯痰和晨间胃液培养均未查到结核菌。7例患者在X线透视下行支气管肺活检,同时以生理盐水冲洗支气管,于冲洗液中查找结核菌。
In recent years, the incidence of tuberculosis has been on the rise. The incidence of miliary tuberculosis in routine care is not uncommon. Such cases are often expectoration less sputum and check TB. The authors performed bronchoscopic lung biopsies on these cases and analyzed their clinical value. Seven patients admitted to our hospital (mean age 51 to 24 years old, 78 years old) underwent chest X-ray photography, showing diffuse milky shadow on both lungs. No sputum and morning gastric juice were found in TB culture. Seven patients underwent X-ray bronchoscopic lung biopsy, while flushing bronchial saline, washing fluid to find Mycobacterium tuberculosis.