Khan M A, Kovnat D M, Bachus B, Whitcomb M E, Brody J S, Snider G L
Am J Med. 1977 Jan;62(1):31-8. doi: 10.1016/0002-9343(77)90346-1.
In order to define the roentgenographic manifestations of pulmonary tuberculosis in the adult, we reviewed a 12 month experience with newly diagnosed patients with active pulmonary tuberculosis in two Boston hospitals. Of 88 patients, 30 (34 per cent) presented with roentgenographic manifestations other than those associated with "usual" postprimary disease. At least 12 patients (13.5 per cent) had primary tuberculosis, including two subjects over 60 years of age. Six patients (6.8 per cent) had disease confined to the lower lung fields, eight patients (9 per cent) had tuberculomas and four (4.5 per cent) had miliary tuberculosis. Twenty per cent of the patients were totally asymptomatic. With the shift of tuberculosis care to community hospitals, knowledge of the varied roentgenographic manifestations is of increasing importance for the practicing internist.
为明确成人肺结核的X线表现，我们回顾了波士顿两家医院12个月内新诊断的活动性肺结核患者的情况。88例患者中，30例（34%）的X线表现不同于“常见”的继发性肺结核。至少12例患者（13.5%）患有原发性肺结核，其中包括两名60岁以上的患者。6例患者（6.8%）病变局限于下肺野，8例患者（9%）有结核瘤，4例患者（4.5%）有粟粒性肺结核。20%的患者完全无症状。随着肺结核治疗向社区医院转移，了解X线表现的多样性对内科医生来说越来越重要。
