中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
2期
53-53
,共1页
肺结核%肺癌%临床分析
肺結覈%肺癌%臨床分析
폐결핵%폐암%림상분석
Pulmonary tuberculosis%Lung cancer%Clinical analysis
目的：探讨肺结核合并肺癌的临床特征，以便早日确诊治疗，避免误诊、漏诊。方法选取2011年3月～2014年5月于本院进行治疗的51例肺结核合并肺癌患者，回顾性分析患者的临床特点、临床表现等。结果肺结核合并肺癌的主要临床表现为咳嗽、咳痰、咳血、胸闷、胸痛、消瘦、低热等；肺结核以侵润型为主，肺癌以腺癌和鳞癌为主；男性多于女性，平均年龄为（55.9±5.3）岁。结论肺结核合并肺癌好发于中年男性，在临床表现、X线检查等方面无明显特异性，临床应注意进一步检查以明确诊断，以免误诊延误治疗。
目的：探討肺結覈閤併肺癌的臨床特徵，以便早日確診治療，避免誤診、漏診。方法選取2011年3月～2014年5月于本院進行治療的51例肺結覈閤併肺癌患者，迴顧性分析患者的臨床特點、臨床錶現等。結果肺結覈閤併肺癌的主要臨床錶現為咳嗽、咳痰、咳血、胸悶、胸痛、消瘦、低熱等；肺結覈以侵潤型為主，肺癌以腺癌和鱗癌為主；男性多于女性，平均年齡為（55.9±5.3）歲。結論肺結覈閤併肺癌好髮于中年男性，在臨床錶現、X線檢查等方麵無明顯特異性，臨床應註意進一步檢查以明確診斷，以免誤診延誤治療。
목적：탐토폐결핵합병폐암적림상특정，이편조일학진치료，피면오진、루진。방법선취2011년3월～2014년5월우본원진행치료적51례폐결핵합병폐암환자，회고성분석환자적림상특점、림상표현등。결과폐결핵합병폐암적주요림상표현위해수、해담、해혈、흉민、흉통、소수、저열등；폐결핵이침윤형위주，폐암이선암화린암위주；남성다우녀성，평균년령위（55.9±5.3）세。결론폐결핵합병폐암호발우중년남성，재림상표현、X선검사등방면무명현특이성，림상응주의진일보검사이명학진단，이면오진연오치료。
Objective To study the clinical features of pulmonary tuberculosis complicated with lung cancer, to encourage early diagnosis and treatment, and avoid misdiagnosis and wrong diagnosis. Methods From 2011 March to 2014 May, 51 cases with pulmonary tuberculosis complicated with lung cancerwere were selected in Liaoyang city tuberculosis hospital, a retrospective analysis of clinical characteristics and clinical manifestation of the disease were carried. Results The main clinical manifestations of pulmonary tuberculosis with lung cancer were cough, expectoration, hemoptysis, chest tightness, chest pain, weight loss, fever and so on. Pulmonary tuberculosis was mainly the invasion type, and lung cancer was mainly adenocarcinoma and squamous cell carcinoma. The male patients amount was more than female, the mean age was (55.9+5.3) years old. Conclusion Pulmonary tuberculosis with lung cancer mainly occured in middle-aged men, no obvious speciifcity in clinical manifestations, X-ray examination, and clinical attention should be further examination to conifrm the diagnosis, to avoid misdiagnosis and delayed treatment.
