摘要
目的:探讨肺出血型钩体病误诊为Ⅱ型肺结核的原因。方法:收集50例肺出血型钩体病误诊为Ⅱ型肺结核的临床资料进行对比分析。结果:肺出血型钩体病X线征象以两肺野外中带呈云雾状,小点状及小结节状和大片状模糊影,则以中下肺野明显,肺尖很少受累及。Ⅱ型肺结核以中上肺野内中带为主,并以双上肺野明显,肺尖常受累及。结论:肺出血型钩体病起病急,发展迅速,并有发热、全身酸痛、乏力,腓肠肌压痛明显,有疫水接触史,结合临床体征及X线征象进行分析,可提高诊断率。
Objective：To discuss the reason why Pneumorrhagia leptospirosis was misdiagnosed as acute pulmonary miliary tuberculosis.Methods ：By collecting .50 clinical cases of pneumorrhagia leptospirosis was misdiagnosed as acute pulmonary miliary tuberculosis,contrast analysis is carried out.Results：It is found the X- ray image of pneumorrhagia leptospirosis appears as shapes of cloud, spot. tubercle and large blur spots in middle part of pulmonary field. It is obvious in the middle and lower part of pulmonary field but very little in tip of lung. In case of acute pulmonary miliary tuberculosis, similar observations are only found in, the inner part of pulmonay field and more obvious on twin upper pul- monary field and the tip of lung. Conclusions ： Pneumorrhagia leptospirosis is an acute disease with a characteristic of quick development. It comes along with fever, sour and pain, aeratia, obvious gastroenemius aeratia, and a history of pestilence. Based on the clinical physical symptom and the observation of X - ray, pneumorrhagia leptospirosis can be diagnosed correctly.
出处
《航空航天医药》
2006年第1期16-17,共2页
Aerospace Medicine
关键词
钩端螺旋体病
Ⅱ型肺结核
pneumorrhagia leptospirosis
acute pulmonary miliary tuberculosis
