中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
4期
58-60
,共3页
肺结核%肺癌%临床诊断
肺結覈%肺癌%臨床診斷
폐결핵%폐암%림상진단
Pulmonary tuberculosis%Lung cancer%Clinical diagnosis
目的：观察肺结核合并肺癌的临床特点及两者之间的相互关系。方法回顾性分析46例肺结核合并肺癌住院患者的临床资料及影像学特点。结果本实验46例病例中，有43例属于男性，占93.5%（43/46），36例既往有吸烟史，占79.6%（36/46）；根据病变部位区分，多数在同侧同叶肺发病（28例，占60.9%），症状以咳嗽、胸痛、气促、咳痰带血及进行性消瘦多见。结论肺结核与肺癌有一定的因果关系，两者并存时可相互影响，且易延误诊断，需临床医生加强对可疑病灶的动态观察，同时警惕患者临床症状的改变，及时确诊减少漏诊、误诊发生。
目的：觀察肺結覈閤併肺癌的臨床特點及兩者之間的相互關繫。方法迴顧性分析46例肺結覈閤併肺癌住院患者的臨床資料及影像學特點。結果本實驗46例病例中，有43例屬于男性，佔93.5%（43/46），36例既往有吸煙史，佔79.6%（36/46）；根據病變部位區分，多數在同側同葉肺髮病（28例，佔60.9%），癥狀以咳嗽、胸痛、氣促、咳痰帶血及進行性消瘦多見。結論肺結覈與肺癌有一定的因果關繫，兩者併存時可相互影響，且易延誤診斷，需臨床醫生加彊對可疑病竈的動態觀察，同時警惕患者臨床癥狀的改變，及時確診減少漏診、誤診髮生。
목적：관찰폐결핵합병폐암적림상특점급량자지간적상호관계。방법회고성분석46례폐결핵합병폐암주원환자적림상자료급영상학특점。결과본실험46례병례중，유43례속우남성，점93.5%（43/46），36례기왕유흡연사，점79.6%（36/46）；근거병변부위구분，다수재동측동협폐발병（28례，점60.9%），증상이해수、흉통、기촉、해담대혈급진행성소수다견。결론폐결핵여폐암유일정적인과관계，량자병존시가상호영향，차역연오진단，수림상의생가강대가의병조적동태관찰，동시경척환자림상증상적개변，급시학진감소루진、오진발생。
Objective To explore the relationship between pulmonary tuberculosis and lung cancer. Methods We respective analyzed the clinical data and imaging of 46 cases of pulmonary tuberculosis with lung cancer. Results In this study, 43 patients were male (93.5%), and 36 patient with the history of smoking (79.6%). Most of the diseased regions of the patients were on the same side with the same leaf lung (28 cases, accounting for 60.9%). The most common symptoms of the patients were cough, chest pain, shortness of breath, sputum with blood and progressive thin. Conclusion Pulmonary tuberculosis and lung cancer have a certain causal relationship, both can inlfuence each other when they were both occurred. In that case, it is easy to delay the diagnosis. So the doctors shouldo strengthen the dynamic observation of the clinician suspicious lesions, and be alert to the change of patient's clinical symptoms. So that we can reduce the missed diagnosis and misdiagnosis.
