近年我国结核病年感染率控制在0.8～1.0%,但不典型病例却未减少,诊治上失误不时发生。因此,我们搜集并整理近13年来我院延误诊断的各种不典型结核病例,分析延误诊断原因,旨在提高诊断水平。一、材料和方法:自1971年6月～1983年11月本院住院治疗,14岁以上的结核病1081例,属误诊、漏诊且病程超过1月以上始确诊为结核病38例(3.52%),其中经诊断性治疗证实23例,从各种分泌物中检出结核菌6例,手术证实6例,淋巴结活检证实1例,尸检证实2例。 In recent years, China’s tuberculosis infection rate control in 0.8 to 1.0%, but atypical cases did not reduce the diagnosis and treatment errors occur from time to time. Therefore, we collected and compiled all kinds of cases of atypical tuberculosis that have been delayed in our hospital in the past 13 years, and analyzed the causes of the delay in diagnosis so as to improve the diagnosis level. Materials and Methods: In our hospital from June 1971 to November 1983, 1081 cases of tuberculosis were diagnosed as tuberculosis in 381 (3.52%) cases of misdiagnosis, missed diagnosis and more than 1 month of age. Among them, 23 cases were confirmed by diagnostic treatment, 6 cases were detected from various secretions, 6 cases were confirmed by operation, 1 case was confirmed by lymph node biopsy and 2 cases were confirmed by autopsy.