摘要
近十年确诊支气管内膜结核36例,其中肺部无病变者17例(34.6％),女性多见(69.4％)。咳嗽、胸闷为主要症状,缺乏典型结核中毒症状。早期痰菌阳性率高。33.3％的患者胸部X线显示肺不张。经纤维支气管镜检查确诊26例。结果表明:早期痰菌检查仍是一简单易行的方法,晚期需纤维支气管镜检查确诊。
Clinical analysis of 36 cases with diagnosed endobronchial tuberculosis:11 men (30. 6%) and 25 women (69. 4%); cough and distress (like can't breathe) were the main symptoms, and lack of the typical tuberculous symptoms. The bacteriological positive rate of sputum was high in the early stage, chest a X - ray examination in the most patients with endobronchial tuberculosis were norml. In the late stage,the bacteriological positive rate of sputum was low,and X-ray examination in these patients often had abnormolity,the atelac-tasis was the main show,which had been misdiagnosed for lung cancer. Twenty six of 36 patients were diagnosed by fiberbronchoscopy. The results show that bacteriological examination of sputum in the early stage is still a simple,easy method,In the late stage,when the bronchi were narrow or blockade,expectoration is not easy,in order to diagnose the fiberbronchoscopy is necessary.
出处
《临床肺科杂志》
1997年第4期30-31,共2页
Journal of Clinical Pulmonary Medicine
