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慢性支气管炎(慢支炎)合并肺结核并非少见,常使病情迁延不愈,且易于漏诊。为减少漏诊,现将诊治体会介绍如下: 一、以持续发热为主要表现男,56岁。慢支炎10年加重并发热2天。否认有结核病史。T39℃,双肺闻及散在干湿罗音。经抗生素治疗4天,症状无好转,体温持续在38～39℃。后做结核菌素试验(OT)阳性,痰涂片找到抗酸杆菌,胸片示右肺浸润性结核,加抗痨药,2天后体温降至正常,症状消失。
Chronic bronchitis (chronic bronchitis) with tuberculosis is not uncommon, often delayed healing, and easy to missed diagnosis. To reduce the missed diagnosis, diagnosis and treatment are now introduced as follows: First, to continue the main male fever, 56 years old. Chronic bronchitis aggravate 10 years and fever for 2 days. Denied a history of tuberculosis. T39 ℃, lungs scattered in the wet and dry rales. Antibiotic treatment for 4 days, no improvement in symptoms, body temperature continued at 38 ~ 39 ℃. Post-tuberculin test (OT) positive sputum smear found acid-fast bacilli, chest radiograph showed right lung tuberculosis, plus anti-tuberculosis medicine, 2 days after the temperature dropped to normal, the symptoms disappear.