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《Chongqing Medical Journal》 2002-09
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Clinical analysis of 48 cases with endobronchial tuberculosis

HUANG Ying,YANG He ping,HU Jian lin,et al. (Department of Pulmonology,Southwest Hospital,the Third Military Medical University,Chongqing 400038,China)  
Objective To explore the clinical characteristic and diagnostic measures for endobronchial tuberculosis. Methods 48 cases of endobronchial tuberculosis admitted from 1995 to 2001 were analyzed based on clinical, chest X ray/CT scans and fiberoptic bronchoscopy (FB) data.Results Young female patients occupied 66.7% of the total and was significantly higher than other groups. Main symptoms were as follows:42 had cough(87.5%), 10 had hemoptysis(20.8%),13 had chest pain(27%), 28 had breathlessness(58.3%), 12 had fever(25%), 19 had asthenia and night sweat (39.5%). Chest X ray and CT demonstrated: 32 cases showed epituberculosis infiltration, 6 cases showed pulmorary cavity(12.5%) , 20 cases showed atelectasis(41.7%), 18 cases showed obstructive pneumonia (37.5%), 9 cases showed hilar lymphadenovarix. Positive sputum swear for acid fast bacilli(AFB) were 37.5%. Staining for AFB was 45.8% positive in bronchial washings and diagnosis was confirmed by bronchoscopic biopsy specimens in 57.5%. Conclusion We should select patients by chest X ray when they have clinical manifestation as described above and CT were examed for the observed lesions. Bronchoscopy was done when the patients was suspected. Bronchoscopy examination was the most important procedure for the diagnosis of endobronchial tuberculosis.
【CateGory Index】: R521.2
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