Woibun M, Naraqi S
P N G Med J. 1979 Dec;22(4):13-5.
The clinical and roentgenographic manifestations of newly confirmed cases of pulmonary tuberculosis at Port Moresby General Hospital during a one year period, starting May 1st, 1977, were reviewed. Of 402 adult patients who were commenced on anti-tuberculosis drugs during this period 101 had bacteriologically confirmed pulmonary tuberculosis. A history of chronic productive cough was the most common clinical finding. Extrapulmonary involvement was found in one third of the patients. Family history of tuberculosis was positive in 20%. There were 50 patients with one or both upper lobes involved, 20 with miliary, 9 with pleural effusion, 5 with generalized by non-miliary pattern, 5 with lower lobes, and one with primary tuberculosis. No tuberculoma was found and the chest x-ray was normal in 2 patients. The most common pattern was involvement of both upper lobes (31 patients). One or more cavities were present in more that half of the patients. In 13% of the patients, roentgenographic findings were considered atypical for adult pulmonary tuberculosis. Cases of lower lung field tuberculosis were the most difficult to diagnose. Comparing the result of this study with that of similar series from countries with a low prevalence of tuberculosis shows that there is a higher frequency of miliary pattern and a lower frequency of tuberculoma and primary tuberculosis in papua New Guinea adults.
对1977年5月1日起为期一年的莫尔斯比港总医院新确诊肺结核病例的临床和X线表现进行了回顾。在此期间开始使用抗结核药物治疗的402例成年患者中，101例经细菌学确诊为肺结核。慢性咳痰病史是最常见的临床发现。三分之一的患者有肺外受累情况。20%的患者有结核病家族史。50例患者的一个或两个上叶受累，20例为粟粒性，9例有胸腔积液，5例为非粟粒性播散，5例为下叶受累，1例为原发性肺结核。未发现结核瘤，2例患者胸部X线检查正常。最常见的表现是双上叶受累（31例患者）。一半以上的患者有一个或多个空洞。13%的患者X线表现被认为不符合成人肺结核的典型表现。下肺野结核病例最难诊断。将本研究结果与结核病低发国家的类似系列研究结果进行比较表明，巴布亚新几内亚成年人中粟粒性表现的发生率较高，而结核瘤和原发性肺结核的发生率较低。
