Purely clinical analysis of 32 cases of bronchial tuberculosis.doc

 PAGE \* MERGEFORMAT 9 Purely clinical analysis of 32 cases of bronchial tuberculosis 1. Kunshan City Second People’s Hospital of Respiratory Medicine, Kunshan, Jiangsu 215300 2. Second Military Medical University Affiliated Changhai Hospital, Department of Respiratory Medicine, Shanghai 200433 Simple bronchial tuberculosis refers to the X-ray non-tuberculosis lesions or only a few stable lesions, direct infection by M. tuberculosis bronchial mucosa and submucosa, muscular even affected cartilage caused by a special type. Simply because of their low incidence of bronchial tuberculosis, clinical and X-ray findings are not typical, highly error, misdiagnosis. This collection from January 1996 to January 2004 alone diagnosed 32 cases of bronchial tuberculosis, analysis is as follows. A clinical data 1.1 General information: The group of men and 7 cases, female 25 cases, male: female = 1:3.57, aged 16 to 53 years old, with an average 30.2 years old, 20 years of age in 2 cases, 21 to 30 years old in 17 cases, 31-year-old to 40 years and 9 cases, 41 years old in 4 cases. Young 93.7%, of which women account for 78.1%. Diagnosed before the duration of 5 to 36 months, an average of 13.8 months. 1.2 The main symptoms and signs: 30 cases of cough, sputum blood in 6 cases, 5 cases of chest pain, shortness of breath after the event 32 cases, 25 cases of wheezing, severe breathing difficulty in 6 cases, fever, fatigue, night sweats in 2 cases, weight loss in 8 cases. 1.3 laboratory tests: erythrocyte sedimentation rate (ESR) increased faster in 27 cases, 29 patients with positive tuberculin test, serum antibody-positive 21 cases of TB, sputum smear positive for acid-fast bacilli in 3 cases. 1.4 chest X-ray and CT examination: 26 cases of bronchial stenosis and atelectasis in 12 cases, the limitations of 8 cases of emphysema, obstructive pneumonia in 9 cases, no significant lesions in 2 cases. 1.5 fibe