Sasaki Y, Yamagishi F, Suzuki K, Miyazawa H, Sugito K, Ihara S
Division of Thoracic Disease, National Chiba-Higashi Hospital, Japan.
Kekkaku. 1993 Dec;68(12):745-9.
A total of 1397 patients were admitted to our hospital between 1986 and 1992. Of those patients, 68 were diagnosed as having tracheo-bronchial tuberculosis, when examined using a bronchofiberscope. We investigated the cases of 50 patients who were examined during the early stages of the diagnosed them as having pulmonary tuberculosis. The number of women in the group was larger than men, and young patients made up 30% of the group. Upon admission to the hospital, all of the patient's sputum examinations were tested positive, but their chest roentgenograms did not show a progressive stage. After treatment, patient roentgenograms showed improvement, however there was no improvement in tracheo or bronchial conditions. It was therefore believed that therapy was impeded by tracheobronchial tuberculosis, but only one patient was treated surgically. It was deemed that the delay of patients seeking treatment was not long, however, the delay for doctors in beginning therapy was very long. Many of the patients with tracheo-bronchial tuberculosis complained of coughing and sputum, therefore diagnosis and therapy should be performed as soon as possible.
1986年至1992年间，共有1397名患者住进我院。在这些患者中，经纤维支气管镜检查，有68例被诊断为气管支气管结核。我们对其中50例在诊断为肺结核早期进行检查的病例进行了调查。该组中女性人数多于男性，年轻患者占该组的30%。入院时，所有患者的痰液检查均呈阳性，但胸部X线片未显示进展期。治疗后，患者的X线片显示有所改善，但气管或支气管状况没有改善。因此认为气管支气管结核阻碍了治疗，但只有1例患者接受了手术治疗。据认为，患者寻求治疗的延误时间不长，然而，医生开始治疗的延误时间很长。许多气管支气管结核患者抱怨咳嗽和咳痰，因此应尽快进行诊断和治疗。
