[两例原发性纵隔结核报告]
[Report of two cases of primary mediastinal tuberculosis].
作者信息
Jiayou Luo, Feng Hua, Bin Wang, Enhai Cui
机构信息
Department of Respiratory Medicine, Zhejiang University Huzhou Hospital, Huzhou 313000, China.
出版信息
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2017 Mar 25;46(2):206-210. doi: 10.3785/j.issn.1008-9292.2017.04.14.
Two cases of primary mediastinal lymphonode tuberculosis involved right bronchus were summarized in the report. Major clinical symptoms included cough and bloody sputum. Chest enhanced CT scan showed mediastinal lymph node enlargement with ring-shaped enhancement. Bronchoscopy suggested neoplasm in right bronchus. Diagnosis of tuberculosis was confirmed by histopathology in samples from lymph node puncture and brochoscopic biopsy. The clinical symptoms and medical imaging of patients were improved after transbrochoscopic interventional therapy and systemic chemotherapy.
报告总结了2例累及右支气管的原发性纵隔淋巴结结核病例。主要临床症状包括咳嗽和咯血。胸部增强CT扫描显示纵隔淋巴结肿大伴环形强化。支气管镜检查提示右支气管肿物。通过淋巴结穿刺和支气管镜活检样本的组织病理学确诊为结核。经支气管镜介入治疗和全身化疗后，患者的临床症状和医学影像表现得到改善。
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