CAJ | 학술논문

目的提高对结核性大叶性肺炎的诊治技术水平。方法对10例结核性大叶性肺炎的诊断治疗过程进行研究分析。结果10例患者均以急起病，9例表现为持续高热，血液中白细胞均低于10×109/L，胸部X线片示肺叶分布的渗出性病变，而且在短期内可有明显改变。全部患者均对抗生素治疗无效，治疗期间病灶可短期内显著增大，抗结核治疗后病灶可短期内明显吸收，而且无空洞形成。结论要注意结核性大叶性肺炎与一般大叶性肺炎的区别，早期经支气管壁肺活检（TBLB）和（或）支气管内膜刷检可帮助对结核性大叶性肺炎的早期诊断和及时治疗。
목적제고대결핵성대협성폐염적진치기술수평。방법대10례결핵성대협성폐염적진단치료과정진행연구분석。결과10례환자균이급기병，9례표현위지속고열，혈액중백세포균저우10×109/L，흉부X선편시폐협분포적삼출성병변，이차재단기내가유명현개변。전부환자균대항생소치료무효，치료기간병조가단기내현저증대，항결핵치료후병조가단기내명현흡수，이차무공동형성。결론요주의결핵성대협성폐염여일반대협성폐염적구별，조기경지기관벽폐활검（TBLB）화（혹）지기관내막쇄검가방조대결핵성대협성폐염적조기진단화급시치료。
Objective To heighten the diagnosis and cure of lobar pneumonic tuberculosis. Methods 10 cases with lobar pneumonic tuberculosis were reviewed. Results All the patients showed acute onsets and 9 of them had a continuous high fever, and their WBC was not found higher than 10 × 109/L. All of the patients’chest radiographs showed a consolidation in one or two lobars, and 30%of the patients pleural effusions were found. Significant roent genographic changes could occur in short duration. All the patients were not sensitive to common antibiotics, and the shadow could enlarge in short time. Exudative foci could be absorbed shortly after antituberculosis chemotherapy, and no cavitation was found. Conclusion Notice to distinguish lobar pneumonic tuberculosis and ordinary lobar pneumonic. An early transbroncho-lung biopsy (TBLB) and (or) brushing of bronchial tube may be advantageous to early diagnosis and treatment of this illness.