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Analysis of atypical X-ray and CT findings and misdiagnosis of pulmonary tuberculosis
Author(s): 
Pages: 26-27
Year: Issue:  1
Journal: CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY

Keyword:  结核体层摄影术X线体层摄影术X线计算机误诊;
Abstract: 目的 通过对肺结核不典型影像学表现分析总结,提高认识,避免误诊.方法 23例肺结核不典型表现病例中,男15例,女8例,年龄18~78岁,平均48岁,23例摄胸正位,侧位8例和定期复查胸片,其中3例做CT扫描,全部病例均经临床或病理确诊.结果 (1)发病部位:9例位于两下叶基底段,5例位于中叶,4例位于舌叶,5例病变位于结核好发部位.(2)病变形态:8例为孤立肺段或肺叶阴影,7例表现略淡的单发或多发片状影,6例为孤立球形病灶,浅分叶,边缘光滑或模糊,2例肺门区肿块,密度不均匀.结论 肺结核发病呈上升趋势,老年肺结核增多,其影像学表现多样化,应根据各种影像综合分析,避免误诊.
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