摘要
目的:探讨我院结核病误诊情况及鉴别诊断要点。方法:回顾性分析我院收治曾被误诊的102例结核病患者的临床资料,总结误诊原因及鉴别方法。结果:本组患者院外误诊90例,院内误诊12例;住院确诊时间3～75天。本组肺结核误诊为肺炎14例,肺癌12例,肺化脓症6例,炎性假瘤5例,误诊为支气管扩张2例。本组9例结核性脑膜炎患者被误诊为病毒性脑膜炎,5例被误诊为流行性脊髓脑膜炎,3例误诊为化脓性脑膜炎,2例误诊为流行性乙型脑炎,误诊为伤寒者和上呼吸道感染各1例。同时脊柱结核、肠结核、乳腺结核、肝结核以及前列腺结核等误诊情况较常见。102例患者均给予积极治疗均痊愈,无死亡病例。结论:结核病在临床误诊较为常见,临床医生应该全面系统地进行综合判断,以尽快明确诊断、尽早治疗。
Objective：To invesgate the misdiagnosis of tuberculosis in our hospital and differentiation diagnsis.Methods：The data of 102 misdiagnosed cases with tuberculosis in our hospital were analyzed retrospectively,and the reasons of misdiagnosis and differentiation diagnsis were summarized.Results：There were 90 cases misdiagnosed in other hospitals and 12 cases misdiagnosed in our hospital.The final diagnosis was done in 3-75 d in hospitalization.There were 14 cases with pulmonary tuberculosis misdiagnosed as pneumonias,and there were 12 cases misdiagnosed as lung cancers,6 cases misdiagnosed as pulmonary suppurations,5 cases misdiagnosed as inflammatory pseudotumors,2 cases misdiagnosed as bronchiectasis.There were 9 cases with tuberculous meningitis misdiagnosed as viral meningitis,and there were 5 cases misdiagnosed as epidemic spinal cord and meningitis,3 cases misdiagnosed as purulent meningitis,2 cases misdiagnosed as epidemic encephalitis type B and 1 cases misdiagnosed as typhoid and upper respiratory tract infection respectively.And spinal tuberculosis,tuberculosis of intestine,mammary gland tuberculosis,hepatic phthisis and tuberculosis of prostate were also misdiagnosed commonly.102 cases were cured by active treatment and no dead case occurred.Conclusion：The misdiagnosis of tuberculosis is common,so the clincians should judge them overally to diagnose and cure it early.
出处
《现代医药卫生》
2010年第4期511-513,共3页
Journal of Modern Medicine & Health
关键词
结核病
误诊
鉴别诊断
Tuberculosis
Misdiagnosis
Differential diagnosis
