临床上有不少病人以喉痛、声嘶为主诉求医。其中,经长期抗炎、对症治疗后,病情仍无缓解者,应高度警惕结核病。我院近五年来遇到六例这种肺结核并喉结核的病人,典型病例如下: 患者蒙××,男,36岁,农民。因声嘶、失语而入院,自述半年前出现咽喉痛,伴咳嗽、咯痰。经数家医疗单位按慢性咽喉炎治疗,病情无好转,二个月前出现声嘶,两周前出现失语,仅靠手势与人交流。入院摄胸片示两肺上中下肺野布满斑片状阴影,痰涤片找结核杆菌(卌),给予四联(HSRZ)强化抗痨后病情迅速好转,一个月后发音功能逐渐恢复,三个月后说话基本正常,但遗留声嘶后遗症。患者刘××,男50岁职工。因声嘶、咽喉疼痛而入院。此前曾经门诊按“慢性咽喉炎”治疗5个月,症状无缓解,并出现咯痰症状,经摄胸片示两肺上中下肺结核,痰找结核菌(卌)。立即予四联(HREZ)强化抗痨。九个月后,结核病治愈,发音正常,但并发肺气肿,病人常感气喘气紧,活动后加剧,不得不提前退休。吴××,男70岁职工。入院主诉:声嘶半年,吞咽有阻塞感,摄胸 There are many patients clinically sore throat, hoarseness primarily for medical treatment. Among them, the long-term anti-inflammatory, symptomatic treatment, the disease still did not ease those who should be highly vigilant against tuberculosis. Our hospital encountered six cases of such tuberculosis and laryngeal tuberculosis in the past five years. Typical cases are as follows: Patients were Mongolian × Male and 36 years old peasants. Due to hoarseness, aphasia and admitted to the hospital, read the report of sore throat six months ago, with cough, expectoration. After several medical units according to the treatment of chronic pharyngitis, the condition did not improve, hoarseness appeared two months ago, aphasia appeared two weeks ago, the only exchange of gestures and people. Hospitalized chest radiography showed that the lungs were covered with patchy shadows in the middle and lower lungs, sputum films were found in Mycobacterium tuberculosis (卌), and HSRZ symptoms were rapidly improved. After one month, the pronunciation function gradually recovered After three months, basically normal speech, but left senescence sequelae. Liu × × patients, male 50-year-old workers. Due to hoarseness, sore throat and hospitalization. Previously the clinic by the “chronic pharyngitis ” treatment for 5 months, the symptoms did not ease, and there was symptoms of expectoration, the chest radiograph showed pulmonary tuberculosis in both lungs, sputum looking for Mycobacterium tuberculosis (卌). Immediately to the quadruple (HREZ) strengthen anti-tuberculosis. Nine months later, tuberculosis was cured and the pronunciation was normal. However, complicated with emphysema, the patient often felt breathless and aggravated after the activity and had to retire early. Wu × ×, male 70-year-old workers. Admitted to the Chief Complaint: Hiss six months, swallowed a sense of obstruction, chest