支气管肺癌误诊肺结核分析ANALYSIS ON THE BRONCHOGENIC CARCINOMA OF LUNG MISDIAGNOSED AS PULMONARY TUBERCULOSIS
张国培,巫仁显
Zhang Guopei, Wu Renxian. Dep of Intern med
摘要(Abstract):
本文报告支气管肺癌误诊为肺结核30例。根据本文观察,肺门、肺尖或锁骨下肺野斑片状病变、粟粒状病变、肺门或其它肺野孤立性结节、以及陈旧性肺结核病人出现持续性咳嗽和痰中带血等均是发生误诊的主要原因。本文还对支气管肺癌和肺结核的鉴别诊断作了扼要的讨论。
An analysis on 30 cases of bronchogenic carcinoma of lung misdiagnosed as pulmonary tuberculosis was reported. Mottled lesions in the hilar, apical or subclavicular regions of lung; miliary lesions; solitary nodule in the hilar or other regions of lung; and Persistent cough with blood streaked sputum in patients with old tuberculous lesions were the principal cause of misdiagnosis. The differential diagnosis of bronchogenie carcinoma of lung and pulmonary tuberculosis was briefly discussed.
关键词(KeyWords):
支气管肺癌;肺结核;误诊
Bronchogenic carcinoma of lung Pulmonary tuberculosis Misdiagnosed.
基金项目(Foundation):
作者(Author):
张国培,巫仁显
Zhang Guopei, Wu Renxian. Dep of Intern med
DOI: 10.19367/j.cnki.1000-2707.1986.03.015
参考文献(References):
- 1. 天津和平医院胸内科等.500例肺癌临床诊断探讨.天津医药 1974;2:324.
- 2. 肖长生.103例肺癌误诊分析.中华结核和呼吸系疾病杂志 1982;5:229.
- 3. 葛立信等.弥漫性细支气管-肺泡癌与血行播散型肺结核(11例误诊分析).中华结核和呼吸系疾病杂志 1984;6:352.
- 4. 李锡瑩等.支气管肺癌的临床诊断-肺结核合并支气管癌.中华医学杂志 1965;51:555.
- 5. 吴绍青.肺癌和肺结核的鉴别诊断.中华结核病科杂志 1955;3:96.
- 6. 汪钟贤等.肺门区异常阴影112例鉴别诊断分析.中华结核和呼吸系疾病杂志 1981;4:141.
- 7. 王正颜等.肺尖癌(附六例报告).中国防痨杂志 1965;6:376.
- 8. Higgins G A, et al. The solitary pulmonary nodule, Arch Surg 1975; 110: 570.
- 9. Steele J D. The solitary pulmonary nodule, J Thor cardio-vasscul Surg 1963; 46: 21.
- 10. Nathan M H. Management of solitary pulmonary nodule. JAMA 1974; 227: 1141.
- 11. Trunk G, et al. The management and evaluation of solitary pulmonary nodule. Chest 1974; 66: 236.
- 12. 黄文礼等.成人粟粒型肺结核100例临床分析.中华结核和呼吸系疾病杂志 1980;3:213.
- 13. 张燕生等.老年急性粟粒型肺结核19例临床分析.中华结核和呼吸系杂志 1982;5:349.
文章评论(Comment):
|
||||||||||||||||||
|
||||||||||||||||||