Kobashi Y, Matsushima T, Kimura M, Yoneyama H, Yano T
Respiratory Department of Internal Medicine, Kawasaki Medical School, Okayama, Japan.
Kekkaku. 1995 Dec;70(12):679-84.
The clinical features of 27 smear-positive and culture-positive tuberculous patients (Group 1) were compared with those of 39 smear-negative and culture-positive patients (Group 2) experienced in our hospital. The proportion of the patients who have underlying diseases was lower in Group 1 than Group 2. Ninety-five % of the patients in Group 1 showed positive PPD skin reaction in comparison with 73% of the patients in Group 2. In most of the patients in Group 1, the chest X-ray findings were typical ones for pulmonary tuberculosis, but 36% of the patients in Group 2 showed atypical X-ray findings. Final diagnosis was more difficult for the patients in Group 2 than Group 1. Almost all patients in Group 1 could be diagnosed within a few days and were referred to a tuberculosis hospital for the treatment of tuberculosis. On the contrary, by the patients in Group 2, the final diagnosis was delayed more than one month until the results of culture was available. Also, many patients in this group had underlying disease and only 8 patients could be transferred to a tuberculosis hospital.
我们对我院收治的27例涂片阳性且培养阳性的结核患者（第1组）与39例涂片阴性但培养阳性的患者（第2组）的临床特征进行了比较。第1组中患有基础疾病的患者比例低于第2组。第1组中95%的患者结核菌素皮肤试验呈阳性，而第2组中这一比例为73%。在第1组的大多数患者中，胸部X线表现为典型的肺结核表现，但第2组中有36%的患者X线表现不典型。第2组患者的最终诊断比第1组更困难。第1组几乎所有患者在几天内即可确诊，并被转至结核病医院接受结核病治疗。相反，第2组患者的最终诊断延迟了一个多月，直到培养结果出来。此外，该组许多患者患有基础疾病，只有8例患者能够转至结核病医院。
