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目的 了解下肺野结核 ( L L FTB)的临床特点 ,提高对 LL FTB的认识。方法 对 39例 L LFTB患者的临床资料进行回顾性综合分析。结果 9例 ( 2 3% )表现为高热 ,34例 ( 87% )周围白细胞总数低于 10× 10 9/ L。胸部 X线示 :病变右侧多于左侧 ,最常侵犯部位是下叶背段和基底段 ,易同时侵犯两个以上肺叶 ,局部易表现为以段或叶分布的片状浸润实变影。 30例行纤维支气管镜检查 ,2 8例 ( 93% )镜下有异常改变 ,13例 ( 4 3% )刷片抗酸杆菌阳性。结论 反复查痰找抗酸杆菌和尽早行纤维支气管镜检查可帮助早期诊断 L L FTB。
Objective To understand the clinical features of lower lung tuberculosis (L L FTB) and to improve the understanding of LL FTB. Methods The clinical data of 39 patients with L LFTB were retrospectively analyzed. Results Nine patients (23%) showed hyperpyrexia and the total number of leukocytes around 34 (87%) was less than 10 × 10 9 / L. Chest X-ray showed: the right side of the lesion is more than the left side, the most common site of invasion is the lower lobe and basal segment, easy to violate more than two lobes at the same time, locally prone to the distribution of segments or leaves lamellar infiltration of real shadow . Thirty patients underwent fibrobronchoscopy, with abnormal changes in 28 cases (93%) and positive in 13 cases (43%). Conclusion Repeated sputum looking for acid-fast bacilli and as early as possible fiberoptic bronchoscopy can help early diagnosis of L FTB.