【摘要】 目的:探讨下肺叶结核的临床表现、X线诊断及鉴别诊断,准确地诊断下肺叶结核。方法:回顾性分析30例下肺叶结核患者的临床资料,所有病例均有胸部正侧位片资料。结果:男21例,女9例,好发于青壮年,18~35岁者占87%;病程缓慢,症状不重,无明显结核中毒症状,主要症状是咳嗽、吐血丝痰、胸痛、乏力、消瘦、盗汗;16例做痰菌培养,8例痰菌阳性;血沉加快者9例。X线表现:右下肺18例,左下肺6例,双下肺6例;各肺段中病灶以下叶背段最多占63%,其次为后基底段占20%;渗出性病灶占46%,增殖病灶占15%,混合性病灶占39%;小叶肺炎型8例,小叶肺炎空洞型4例,节段性肺炎型5例,肺门浓密型3例,结核球型10例;合并少量胸腔积液者2例,肋膈角粘连者4例,伴同侧肺门淋巴结肿大者2例。结论:X线正侧位胸片检查对下肺叶结核的诊断,有较高价值。更多还原

【Abstract】 Objective:To study the clinical manifestation,X-ray diagnosis and differential diagnosis for tuberculosis of lower leaves in order to improve diagnostic accuracy of the tuberculosis.Methods: Thirty cases of tuberculosis of lower leaves were collected with 21 males and 9 females.The age ranged from 18 to 45 years old and average age was 28.4.All cases were performed on P-A and lateral position of the chest films.Results: Although tuberculosis of lower leaves was infrequently found,the composition of the case was multiply and had five types.The Pleura and lung hilum were invaded in some case.The clinical symptoms in all cases were gentle.Conclusion: X-ray P-A and lateral position of the chest are valuable for diagnosing tuberculosis of lower leaves.更多还原