Zhu G, Ji S
Department of Respiratory Medicine, General Hospital of Air Force, PLA, Beijing 100036.
Zhonghua Jie He He Hu Xi Za Zhi. 1998 Feb;21(2):85-7.
To heighten the awareness of lobar pneumonic tuberculosis(or tuberculous pneumonia or acute pneumonic tuberculosis).
10 cases with lobar pneumonic tuberculosis were reviewed.
All the patients showed acute onsets and 9 of them had a continuous high fever, and their WBC was not found higher than 10 x 10(9)/L. All of the patients' chest radiographs showed a consolidation in one or two lobars, and in 30% of the patients pleural effusions were found. Significant roent genographic changes could occur in short duration. All the patients were not sensitive to common antibiotics, and the shadow could enlarge in short time. Exudative foci could be absorbed shortly after antituberculosis chemotherapy, and no cavitation was found.
An early transbroncho-lung biopsy (TBLB) and (or) brushing smear may be advantageous to early diagnosis and treatment of this illness.
提高对大叶性肺炎型肺结核（或结核性肺炎或急性肺炎型肺结核）的认识。
回顾性分析10例大叶性肺炎型肺结核患者的临床资料。
所有患者均急性起病，9例持续高热，白细胞计数均不高于10×10⁹/L。所有患者胸部X线片均显示一个或两个肺叶实变，30%的患者伴有胸腔积液。短时间内可出现明显的影像学改变。所有患者对普通抗生素不敏感，阴影可在短时间内增大。抗结核化疗后渗出病灶可短期内吸收，未发现空洞形成。
早期经支气管肺活检（TBLB）和（或）刷检涂片可能有助于本病的早期诊断和治疗。
