Holmes P, Faulks L
Aust N Z J Med. 1981 Dec;11(6):651-3. doi: 10.1111/j.1445-5994.1981.tb03540.x.
A study was made of the presenting features of 100 consecutive Australian patients with pulmonary tuberculosis. A clinical diagnosis of pulmonary tuberculosis was suspected at the time of first presentation in only 52 patients and the initial provisional diagnosis was that of a non-tuberculous chest condition in a further 32 patients. In another 16 there was a delay in diagnosis because pulmonary tuberculosis was suspected only after chest X-rays were taken for screening purposes--for example, prior to elective surgery. A non-cavitating lesion in an upper lobe was the radiological appearance most often associated with failure to suspect tuberculosis at the time of presentation. The most common symptoms or change in pre-existing chest complaints were cough (55), loss of weight (52) and shortness of breath (43) followed by fever or night sweats (23) and haemoptysis (10) while 16 were asymptomatic.
对100例连续的澳大利亚肺结核患者的临床表现进行了研究。首次就诊时仅有52例患者临床疑似肺结核，另有32例患者最初的初步诊断为非结核性胸部疾病。还有16例患者诊断延迟，因为仅在进行胸部X线筛查（例如，择期手术前）时才怀疑患有肺结核。上叶非空洞性病变是就诊时最常与未怀疑肺结核相关的放射学表现。最常见的症状或原有胸部症状的变化为咳嗽（55例）、体重减轻（52例）和呼吸急促（43例），其次是发热或盗汗（23例）和咯血（10例），而16例患者无症状。
