Deviaterikov A I
Voen Med Zh. 1992 Aug(8):34-6.
The pronounced pathomorphosis complicates the diagnosis of pulmonary tuberculosis, especially with round growths in lungs. In the author's opinion the reasons that lead to the errors in the diagnosis of pulmonary tuberculosis are the following: as a rule, the diagnosis is made only on the basis of clinico-roentgenological data; lack of oncological anxiety; overestimation of trial chemotherapy by means of tuberculostatic medications. In cases of the indeterminate diagnosis it is recommended to arrive at the decision on operation within the shortest possible time.
明显的病理形态改变使肺结核的诊断复杂化,尤其是肺部出现圆形病灶时。作者认为导致肺结核诊断错误的原因如下:通常仅根据临床-放射学资料进行诊断;缺乏肿瘤学方面的警惕性;对使用抗结核药物进行试验性化疗估计过高。在诊断不明确的情况下,建议在尽可能短的时间内做出手术决定。