[活动性气管支气管干酪样结核。10例患者]

[Active tracheo-bronchial caseous tuberculosis. Ten patients].

作者信息

Le Huu L, Phan Thanh H, Hoeffel C C

机构信息

Centre de Pneumo-phtisiologie de Pham Ngoc Thach, Ho Chi Minh Ville, Vietnam.

出版信息

Rev Pneumol Clin. 2001 Sep;57(4):289-95.

PMID:11593155

Abstract

BACKGROUND

We report 10 cases of active endobronchial tuberculosis in female patients.

PATIENTS AND METHODS

Diagnosis of endobronchial tuberculosis was established by demonstrating the presence of Koch bacilli in the bronchial washings or at pathology examination of a bronchial mucosa biopsy. Follow-up was available for 5 of the 10 cases.

RESULTS

These women were aged 19 to 756 years. Clinical signs included persistent cough (n=10), wheezing (n=10), dyspnea (n=5), dysphonia (n=4) and fever (n=8). Chest x-ray was normal in 4 cases but showed condensation in 4 others with infiltration of the superior lobe in 2 cases. Bronchoscopy findings were characteristic with a thick layer of white caseum on the mucosa. Koch bacilli were found in all bronchial wash specimens. Pathology examination confirmed the diagnosis of tuberculosis in 5 of the 10 cases.

摘要

背景

我们报告了10例女性活动性支气管内膜结核病例。

患者与方法

通过在支气管灌洗物中发现结核杆菌或支气管黏膜活检的病理检查来确诊支气管内膜结核。10例患者中有5例进行了随访。

结果

这些女性年龄在19至756岁之间。临床症状包括持续性咳嗽（n = 10）、喘息（n = 10）、呼吸困难（n = 5）、声音嘶哑（n = 4）和发热（n = 8）。4例胸部X线检查正常，4例显示有实变，其中2例上叶有浸润。支气管镜检查结果具有特征性，黏膜上有一层厚厚的白色干酪样物质。所有支气管灌洗标本中均发现结核杆菌。10例患者中有5例经病理检查确诊为结核病。