| 67例下叶基底段肺结核误诊原因分析 |
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| 引用本文： | 董秋兰,;李艳明,;王颖,;李少杰.67例下叶基底段肺结核误诊原因分析[J].吉林林学院学报,2009(4):341-343. |
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| 作者姓名： | 董秋兰 ;李艳明 ;王颖 ;李少杰 |
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| 作者单位： | [1]珠海市结核病防治所,广东珠海519000; [2]北华大学护理学院,吉林吉林132013; [3]中山大学第五附属医院,广东珠海519000; [4]珠海市人民医院,广东珠海519000 |
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| 摘 要： | 目的探讨下叶基底段肺结核误诊的原因，以提高诊断水平，减少误诊率．方法对珠海地区2005年1月～2008年12月登记管理的下叶基底段肺结核67例误诊病例进行回顾性分析．结果误诊为肺炎16例，支气管肺炎31例，肺脓疡8例，肺癌9例，支气管扩张并感染3例．结论下叶基底段肺结核的临床症状、X线表现均不典型，易误诊，应提高对下叶基底段肺结核的认识．全面收集临床资料，充分利用各种检查手段，寻求病原和组织学诊断依据是减少误诊的关键．
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| 关 键 词： | 下叶基底段 肺结核 诊断 误诊 |
Misdiagnosis Reason Analysis of 67 Patients with Pulmonary Tuberculosis at Basal Segment of Lower Lobe |
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| Institution: | DONG Qiu-lan ,LI Yan-ming ,WANG Ying ,LI Shao-jie ( 1. Institute of Tuberculosis Control, Zhuhai 519000, China ;2. Nursing College of Beihua University, Jilin 132013, China ; 3. Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China ; 4. Zhuhai Municipal People＇s Hospital,Zhuhai 519000, China) |
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| Abstract: | Objective To investigate the reasons of misdiagnosis lower lobe so as to improve the diagnosis level. Method 67 segment of lower lobe in Zhuhai area between January 2005 and of pulmonary tuberculosis at basal segment of patients with pulmonary tuberculosis at basal December 2008 were retrospectively studied. Results 16 cases were misdiagnosed as pneumonia,31 misdiagnosed as bronchopneumonia,8 lung abscess,9 misdiagnosed as lung cancer and 3 misdiagnosed as misdiagnosed as bronchiectasis with infection. Conclusion Clinical symptoms and chest X-ray findings of pulmonary tuberculosis at basal segment of lower lobe are often atypical, and misdiagnosis always occurs. In order to improve the diagnosis level of pulmonary tuberculosis at basal segment of lower lobe, collecting comprehensively clinical data and using a variety of examination methods should be done to find etiology and histodiagnosis. |
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| Keywords: | Basal segment of lower lobe Pulmonary tuberculosis Diagnosis Misdiagnosis |
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