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[矽肺结核的诊断错误(临床与尸检对比)]

[Diagnostic errors in silicotuberculosis (clinical-autopsy comparisons)].

作者信息

Iakovlev V I, Boev Iu N, Slinchenko N Z, Filipchenko L L, Krivonos A P

出版信息

Gig Tr Prof Zabol. 1990(5):7-10.

PMID:2379859
Abstract

Basing on 42 post-mortem examinations of silicotuberculosis cases, the contributors display the most frequently encountered errors in diagnosing this disease. Silicotuberculous bronchadenitis, conglomerate-cirrhotic lower-lobe silicotuberculosis and their complications (e.g. concomitant pericarditis and endobronchitis) are the most difficult cases for detection. To avoid diagnostic errors, a most detailed case history study is needed, along with a complex clinico-functional and tomography examinations, a wide use of endoscopy and bacteriological techniques.

摘要

基于42例硅肺结核病例的尸检结果,作者展示了诊断该病时最常出现的错误。硅结核性支气管淋巴结炎、融合性肝硬化型下叶硅肺结核及其并发症(如并发心包炎和支气管炎)是最难检测的病例。为避免诊断错误,需要进行最详细的病史研究,同时进行综合临床功能和断层扫描检查,广泛应用内窥镜检查和细菌学技术。

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