CAJ | 학술논문

目的：分析矽肺患者临床中被误诊为肺结核的原因，并对X线胸片表现情况进行分析。方法收集转至本院220例矽肺误诊为肺结核患者的病例资料，对误诊原因和X线胸片情况进行分析。结果220例矽肺患者发生误诊原因经过分析包括15种，出现最多的原因是对矽肺X线胸片没有准确判断，占46.36%，显著高于其他误诊原因(P<0.05)。结论避免发生矽肺误诊的措施有对矽肺发生早期融合以及不典型融合病变时X线胸片进行准确判断，对患者的职业史进行询问等，从而减少误诊，对矽肺患者实施正确治疗。
목적：분석석폐환자림상중피오진위폐결핵적원인，병대X선흉편표현정황진행분석。방법수집전지본원220례석폐오진위폐결핵환자적병례자료，대오진원인화X선흉편정황진행분석。결과220례석폐환자발생오진원인경과분석포괄15충，출현최다적원인시대석폐X선흉편몰유준학판단，점46.36%，현저고우기타오진원인(P<0.05)。결론피면발생석폐오진적조시유대석폐발생조기융합이급불전형융합병변시X선흉편진행준학판단，대환자적직업사진행순문등，종이감소오진，대석폐환자실시정학치료。
Objective To analyze the causes of misdiagnosed as pulmonary tuberculosis in patients with silicosis. Methods 220 cases of silicosis misdiagnosed as pulmonary tuberculosis in patients with clinical data and X-ray analysisto in our hospital. Results 220 cases of silicosis patients misdiagnosed through analysis includes 15 kinds, the most reason is not on silicosis X-ray accurate judgment, accounted for 46.36%, significantly higher than that of other causes of misdiagnosis, P<0.05, there was statistical significance. Conclusion To avoid the occurrence of silicosis diagnosed measures on occurrence of silicosis early fusion and fusion lesions not typical x-ray judgment, patient occupation history inquiry, thereby reducing the misdiagnosis, implementing the correct treatment of silicosis patients.