摘要
目的探讨支气管内膜结核的误诊原因,提高支气管内膜结核的诊断水平。方法采用临床分析方法,对该所收治的35例支气管结核病患者进行分析。结果误治患者年龄分布主要在18～60岁,职业分布差异无统计学意义,患者自身延误诊治和医源性误诊并存,平均延误诊治时间约180d。结论支气管内膜结核往往缺乏典型的临床症状和体征,肺部常规X线检查及CT检查难以发现支气管内膜病灶,临床医生经验不足易造成误诊。
Objective To explore misdiagnosis reasons of endobronchial tuberculosis,and raise the diagnosis level of endobronchial tuberculosis.Methods By using the method of clinical analysis,the data of 35 patients with endobronchial tuberculosis treated in author＇s hospital were analyzed.Results The age of misdiagnosis patients was at the range of 18 to 60.There was no significant difference in professional distribution.Diagnosis and treatment of the patient＇s own delay and iatrogenic misdiagnosis coexisted.The average delay time of diagnosis and treatment was about 180 days.Conclusions Endobronchial tuberculosis often lack of typical clinical symptoms and signs.Lung conventional X-ray and CT examination are difficult to find the bronchial endometrial lesions.Clinician lack of experience is also a main reason of misdiagnosis.
出处
《中国煤炭工业医学杂志》
2014年第10期1681-1683,共3页
Chinese Journal of Coal Industry Medicine
关键词
支气管内膜结核
误诊
漏诊
Endobronchial tuberculosis
Misdiagnosis
In diagnosis
