结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (1): 45-47.

• 论著 • 上一篇    下一篇

52例慢性支气管炎合并肺结核临床分析

谢育琴,温杰冉,谢丽兰,巫嘉雯,罗玉娟,李杰   

  1. 526020 广东省肇庆市结核病防治所
  • 收稿日期:2013-03-18 出版日期:2013-03-30 发布日期:2013-03-30
  • 通信作者: 谢育琴,Email:xieyuqin111@126.com

Analysis of 52 chronic bronchitis patients with pulmonary tuberculosis

XIE Yu-qin, WEN Jie-ran, XIE Li-lan, WU Jia-wen, LUO Yu-juan, LI Jie   

  1. Institute for Tuberculosis Control and Prevention in Zhaoqing, Guangdong province 526020, China
  • Received:2013-03-18 Online:2013-03-30 Published:2013-03-30

摘要: 目的探讨慢性支气管炎合并肺结核的临床特点,减少漏诊,以提高诊治水平。方法回顾性分析我院2009年1月至2011年1月收治的52例慢性支气管炎合并肺结核的临床表现和影像学等辅助检查特点。结果慢性支气管炎合并肺结核的患者无结核中毒症状者46例,占88.5%(46/52),胸部影像学表现与单纯肺结核表现无明显差别,病灶多位于上叶尖段或合并下叶背段、基底段,占61.5%(32/52)。结论慢性支气管炎合并肺结核临床表现不典型,应该特别注意合并两病时临床特征的搜寻和鉴别诊断,尤其是X线胸片或CT检查应作为常规检查手段,以尽量早期诊断、早期治疗。

Abstract: Objective To explore clinical characteristics of chronic bronchitis patients with pulmonary tuberculosis in order to reduce misdiagnosis and improve the diagnosis and treatment.Methods The clinical manifestation of 52 chronic bronchitis patients with pulmonary tuberculosis from 2009 to 2011 were analyzed.Results 88.5%(46/52)of the patients had no tuberculosis symptoms.There was no significant difference in the chest X-ray manifestations between chronic bronchitis patients with tuberculosis and simple pulmonary tuberculosis, which lesions located in the tip or combined with posterior segment of lower lobe, basal segment accounting for 61.5%(32/52).Conclusion It is possible to be misdiagnosed due to atypical symptoms of the chronic bronchitis associated with pulmonary tuberculosis, so X-ray or CT should be taken as routine examination for early diagnosis and treatment.