【摘要】 目的探讨肺血管炎误诊为肺结核的原因及预防方法。方法通过对5例肺血管炎误诊为肺结核的临床分析,重点分析肺血管炎误诊原因,探讨诊治方法。结果5例肺血管炎患者均误诊为肺结核,在明确诊断前均进行了不适当的检查和治疗,延误病情,5例中有3例好转出院,2例死亡。结论应提高对肺小血管炎的认识,当患者病情经相应治疗未见好转,应及时检查血周围型抗中性粒细胞胞浆抗体(ANCA),如果有条件应积极进行开胸肺活检或通过胸腔镜活检,争取明确诊断。更多还原

【Abstract】 Objective To discuss the causes and prevention measures of misdiagnoses of pulmonary vasculitis as pulmonary tuberculosis. Methods Through discussion of the causes of misdiagnoses of 5 cases pulmonary vasculitis as pulmonary tuberculosis,we put forward the correct thinking way of diagnosis and misdiagnosis prevention methods for pulmonary vasculitis. Results Five patients with pulmonary vasculitis all were misdiagnosed as pulmonary tuberculosis,and received non-proper examination and therapy,delayed disease diagnosis and treatment.3 patients were improving and discharged,and 2 patients died. Conclusion clinical physicians should raise their understanding of pulmonary vasculitis.When the patients don’t show improvement after relevant treatment,the anti-neutrophil cytoplasmic autoantibody(ANCA) in serum should be examined in time.If there are good conditions,lung biopsy should be done to diagnose definitely.更多还原