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600例肺癌误诊为肺结核原因分析

The Analysis on 600 Cases of Lung Cancer Suspected as Tuberculosis

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【作者】 王淑华王孟山刘延龙周希玲赵秋芸

【Author】 Wang Shuhua

【机构】 河北省结核病防治院河北省儿童医院 050041050041050041

【摘要】 为了减少肺癌的误诊率,我们对1977年以来经细胞学及组织学证实的846例肺癌中误诊为肺结核的600例病例进行了分析.从三个方面讨论了误诊原因及教训:1.对早期症状的忽视;2.肺癌与肺结核并存;3.对肺癌的某些X线征象认识不足.因此,不断提高X线诊断水平和对肺癌的警惕性,丰富必要的临床知识及有针对性地应用检查仪器,积极开展胸部疾病的病理学诊断是提高肺癌早期诊断率的措施.

【Abstract】 In order to reduce the misdiagnosis rate of lung cancer we analysed 600 cases of lung cancer misdiagnosed as tuberculosis from 846 cases which were evidenced by cytology or histology in our hospital since 1977. The causes of misdiagnosis were discussed in three aspects. (1)the early symptoms were ignored; (2)lung cancer and tuberculosis coexisted:and (3)some characterristics of lung cancer shown by X-ray were distinguished. It is necessary to raise the level of the diagnosis of the common X-ray,to keep vigilance for lung cancer,acquire further, clinical knoledge needed,to made full use of the examining instruments and to wage activities of the pathological diagnosis of thoracic diseases.

【关键词】 肺肿瘤肺结核鉴别诊断
  • 【文献出处】 综合临床医学 ,Clinical Medicine of China , 编辑部邮箱 ,1994年04期
  • 【分类号】R734.2
  • 【被引频次】3
  • 【下载频次】14
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