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目的:探讨在临床工作出现误诊为肺结核,为避免减少误诊提供理伦依据。方法:选择2005年1月至2015年12月,我科收治肺结核患者中9名为研究对象,回顾性分析其临床资料。结果:9名患者分别为3例肺小细胞癌,6例其它感染性肺部疾病。结论:肺结核、肺癌、非结核分枝杆菌感染肺部疾病在临床症状、X线、CT影像表现上有相似之处,尤其是菌阴肺结核诊断尤为复杂,难以确诊,在临床上易发生误诊现象,需要结合临床表现,特别是影像学检查及其他实验室检查等进行综合分析,加以鉴别。本文结合9例病人治疗转归情况,对9病进行鉴别性诊断分析,以减少误诊、误治发生率。
Objective: To investigate the misdiagnosis of pulmonary tuberculosis in clinical work, to reduce the misdiagnosis to provide rilon basis. Methods: From January 2005 to December 2015, 9 patients with tuberculosis in our department were selected as the research object, and their clinical data were retrospectively analyzed. Results: Nine patients had three cases of small cell lung cancer and six cases of other infectious lung diseases. Conclusion: Pulmonary tuberculosis, lung cancer and non-tuberculous mycobacterium infection in lung disease have similar clinical symptoms, X-ray and CT imaging manifestations. In particular, the diagnosis of bacterial vaginosis is particularly complicated and difficult to diagnose, and it is clinically prone to misdiagnosis , Need to combine clinical manifestations, especially imaging studies and other laboratory tests to conduct a comprehensive analysis to be identified. In this paper, 9 cases of patients with the outcome of the treatment, the 9 cases of differential diagnosis, to reduce the misdiagnosis, the incidence of misdiagnosis.