Pulmonary tuberculosis is common misdiagnoses and analyzes _'s general knowledge

Pulmonary tuberculosis is common misdiagnoses and analyzes _'s general knowledge
Pulmonary tuberculosis is common disease, it is generally easy to diagnose, but still often misdiagnose and manage by mistake, this text collect pulmonary tuberculosis misdiagnose 69 while being common, misdiagnose the reason, go on analyzing to their.
45 for a general materials man, 24 women. Age is the 3 years most younger, the 70 years most older. 18 examples under the age of 15.
The case collects the condition: Pulmonary tuberculosis misdiagnose for whether tuberculosis disease does not give, resist nearly 2 week such as treatment such as tuberculosis or the intersection of the above person and 11, it is 2 weeks shortest to delay time, is most as long as 17 months. 9 phlegm find tuberculosis fungus make a definite diagnosis of, one as diagnosed definitely by pathology, one is diagnosed clinically synthetically among them. It is not tuberculosis disease that is misdiagnosed to pulmonary tuberculosis and given the person who resists tuberculosis treatment 2 weeks or the above 58. It is the 2 weeks shortest when misdiagnosing time, most as long as 9 years. All cases, through pathology, cytologic, aetiology or diagnosing clinically synthetically separately, get rid of pulmonary tuberculosis.
1.1 This group of case big leaf segment pneumonia, anaphylactic pneumonia and other pneumonia misdiagnose and reach 32 for pulmonary tuberculosis. 15 old the intersection of leaf and the intersection of segment and pneumonia too acute issue already go to a doctor, acute symptom disappear, the blood leucocyte is normal, lung pathological change has and already absorbed partly in upper leaves or lung door districts, misdiagnose it as pulmonary tuberculosis because it is half-hearted to collect in the medical history. Some anaphylactic pneumonia lung shade is exactly like pulmonary tuberculosis, the blood of sheath of the end has a liking for his erythrocyte and does not increase. 8 cases of phlegm PCR tuberculosis fungus of this group are positive, result in misdiagnosing. Must find out about medical history to the suspicious case in detail, comprehensive analysis, reexamine in short term, this group case the intersection of lung and shade absorb totally in the quick two week most, phlegm slide observe, have a liking for the intersection of he and erythrocyte, have rib on anaphylactic diagnosis of pneumonia. Big the intersection of leaf and the intersection of segment and the intersection of and the intersection of pneumonia and lung it leaves over shade to be single side generally, and pulmonary tuberculosis lung have focus while being wild beyond pathological change often. PCR can present the false positive reaction for various reasons while measuring the phlegm tuberculosis fungus. Can't report and ignore and diagnose synthetically only according to PCR. Plan, examine pulmonary tuberculosis and phlegm fungus getting negative to walk after treating 2- 4 week in conformity with routine X-ray reexamine.
1.2 This group misdiagnoses 16 bronchus scrofulas. It is the clinic that is misdiagnosed commonly. The main reason is that the medical history can not be collected detailedly, do not understand the diagnosis value of tuberculin test, for X-ray chest blocks of lung door more getting more familiar enoughly when changing,only according to after before there change to if you can't regard is location chest slice, increase the normal lung door or non- specific lung door by mistake as tuberculosis. This group 13 child suffer from chronic the intersection of bronchus and illness, 3 sense, whooping cough at being, chest block increase for dual asymmetric side lung doors more in the X-ray, the lamination increases by the lung door, lower lung line disorderly in wild lung, majority have cough history or the intersection of asthma and history repeatedly, form, test 9 case negative usually, 7 are generally positive, there is card mark. Because one of these cough, the lung respiration in right is low, a right trachea bronchus of straight location chest can see the semi-circular tubercle shade, exactly like the enlargement of lymph nodes of lung door. But form and usually test negatively, reexamine the lung door in short term normally through resisting the inflammation treatment. It is increased widely that a young patient is mediastinal on right, the enlargement of lymph nodes of shank, misdiagnose lung door scrofula, and then print one and find Lee - history cells and make a definite diagnosis of Hodgkin's lymphoma by the cervical lymph-node.
1.3 Lung march off into political wilderness tuberculosis ignore often, this 6 of group misdiagnose for prop up, prop up, expand, infect while being slow for a long time and bronchus asthma is infected. 2 misdiagnose time for over one year. 5 check phlegm find the intersection of tuberculosis and fungus, 1 by fine to prop up mirror, examine and finds membrane tuberculosis in the bronchus repeatedly among them, 6 are on the bottom the lung is wild to spread the platelet shade, 3 are single side, 3 are dual sides, heal after resisting tuberculosis to treat. Diagnose chronic bronchus illness, especially the good one of curative effect, should check the phlegm tuberculosis fungus conventionally.
1.4 Lung tuberculosis pathological change and differentiation of cancer pathological change are more difficult sometimes, 4 cases of lung cancer of this group misdiagnose the shade above 2 left lung doors among them for pulmonary tuberculosis, 2 are peripheral tubercle shadow, as diagnosed definitely by cytologic or pathology. Lung isolate shade and CT find have pleura to be sunken to it solicits to be but suspected to be lung cancer at the another 2, through checking repeatedly many times the phlegm finds the tuberculosis fungus, and is resisted tuberculosis and treated pathological change to absorb, track that observes making a definite diagnosis of it pulmonary tuberculosis.
1.5 Tuberculosis pleurisy and malignant thorax accumulate liquid, distinguish, sometimes is relatively difficult, this misdiagnose for tuberculosis nature pleurisy by 2 groups, it is cover tumour among the malignant pleura as diagnosed definitely by cytologic and pathology finally.
1.6 Lung trematodiasis is misdiagnosed as pulmonary tuberculosis sometimes, this group of a lung trematodiasises have been misdiagnosed for wild tuberculosis of the lung under right for 9 years, spit blood numerous hospital treatment repeatedly, it is suspected to be lung trematodiasis because of finding a patient offers as a kind of phlegm of rotten jam after all, the phlegm found the lung and sucked the worm's ovum and made a definite diagnosis of. 2 discuss pulmonary tuberculosis and pneumonia common disease, easy to take place upper lung, lung it is sometimes difficult to distinguish for X-ray to behave, diagnose that often apt to misdiagnose only according to the X-ray chest slice, but two clinical manifestation has differences, the course of disease is different too, gather the medical history in detail, diagnose synthetically, it is generally unlikely to misdiagnose to reexamine in a short time. Lower the intersection of lung and wild tuberculosis difficult and chronic bronchus illness distinguishes, consult the phlegm repeatedly sometimes, doing if necessary finely and propping up the mirror and examining contributes to distinguishing. The diagnosis of child's bronchus scrofula should combine the medical history, usually form it is diagnosed synthetically that testing, lung X-ray changes. As for pulmonary tuberculosis and differentiation of lung cancer being more difficult sometimes, must use various means, look for aetiology, cytologic or pathological definite diagnosis basis, display only according to the X-ray or CT often misdiagnoses while checking.
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