李鹏.以阻塞性肺炎为主要表现的肺癌30例分析[J].中国医学影像技术,2008,24(s1):76~77
以阻塞性肺炎为主要表现的肺癌30例分析
Obstructive pneumonia as the main performance of the 30 cases of lung cancer’s analysis
投稿时间:2008-06-10  修订日期:2008-07-16
DOI:
中文关键词:  肺炎  肺肿瘤  误诊  结核,肺
英文关键词:Pneumonia  Lung neoplasms  Diagnostic errors  Tuberculosis, pulmonary
基金项目:
作者单位E-mail
李鹏 江苏省南通市紫琅医院放射科江苏 南通 226006 08lp@163.com 
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中文摘要:
      目的 讨论以阻塞性肺炎为主要X线表现的肺癌病例的临床和X线表现特点,分析误诊原因,并提出鉴别诊断意见。方法 回顾性分析1993—1999年经临床证实的30例以阻塞性肺炎为主要表现的肺癌。结果 30例以阻塞性肺炎为主要表现的肺癌中,首次X线检查误诊为肺炎的17例(56.7%),误诊为肺结核的7例(23.3%),误诊为胸膜肥厚的2例(6.7%),不能肯定诊断的4例(13.3%)。结论 对于临床同一部位反复发作的肺炎高度重视,并采取积极态度,早发现、
英文摘要:
      Objective Discuss obstructive pneumonia as the main X-ray findings of the lung cancer cases and X-ray features, analyse the reason of misdiagnosis, and put forward views on differential diagnosis. Methods Retrospectively analyse the 1993-1999 clinically confirmed 30 cases of pneumonia with obstructive lung cancer as the main performance. Results Among the 30 patients with obstructive pneumonia as the main performance of lung cancer, 17 cases (56.7%) were misdiagnosed as pneumonia for the first time X-ray examination, 7 cases (23.3%) were misdiagnosed as tuberculosis, 2 cases (6.7%) were misdiagnosed as pleural thickening, 4 cases (13.3%) can not be sure diagnosed. Conclusion Attach great importance to the same site of repeated attacks of pneumonia and take a positive attitude, early discovery, early diagnosis and early treatment can achieve the best effect.
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