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成人肺结核的好发部位多在肺上叶,肺下叶较少见。对无痰或反复痰检三次以上,结核菌阴性的患者诊断较困难,容易漏诊、误诊。现就本院50例经BF检查的肺下叶结核分析报告如下: 临床资料 本组均为初治无痰和痰检阴性的X线显示肺下叶病变,经BF检查、刷片、活检及细菌学检查确诊病例。男性31例,女性19例,年龄在15-70岁。BF术前痰涂片3-5次,抗酸杆菌均阴性,术后24小时痰涂片阳性率达38％。X线影象均表现肺下叶不典型阴影,多以肺纹理增粗,紊乱中夹杂斑点状、小片状阴影。BF下所见:支
The incidence of tuberculosis in adults mostly in the upper lobe, lower lobe of the lungs less common. No sputum or repeated sputum examination more than three times, the diagnosis of patients with negative for tuberculosis more difficult, easy to missed diagnosis, misdiagnosis. Now on our hospital 50 cases of pulmonary infection detected by the BF tuberculosis report are as follows: Clinical data of this group are untreated sputum and sputum negative X-ray showed lung disease, the BF examination, brush, biopsy and Bacteriological examination confirmed cases. 31 males and 19 females, aged 15-70 years old. BF preoperative sputum smear 3-5 times, acid-fast bacilli were negative, 24 hours after the sputum smear positive rate of 38%. X-ray images showed atypical lobes of the lower lobe of the lungs, mostly with thickening of the lungs, disorganized spots and small patches of shadows. BF see: branch