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《Clinical Medicine》 2006-07
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Endobronchial tuberculosis with normal chest radiograph

HE Shunping,WANG Xiaoping,LI Dongmei,XIE Junfen,PENG Lin.Department of Respiratory Medicine,the First People's Hospital of Shaoguan,Shaoguan 512000,Guangdong  
Objective To explore the clinical features and the clinical diagnosis of endobronchial tuberculosis(EBTB) with normal chest radiograph.Methods Clinical symptoms and fiberoptic bronchoscopic findings of 41 cases of EBTB with normal chest radiograph were retrospectively analyzed.Results Main symptoms were follows:cough in 34 cases,dyspnea in 12,haemoptysis in 9,fever in 5 and night sweats in 4.The average illness duration of the group(including 25 cases) who aged less 35 years old was(5±4) months,and in which 2 cases were complicated with others chronic diseases.The duration of the other group(including 7 cases) who aged over 55 years old was(10±6) months,and in which 5 cases were complicated with others chronic diseases.There was significant difference in the two groups.Bronchoscopic results showed 16 cases of edematous-hyperemic type,11 of actively caseating type,7 of granular type,2 of tumorous type,4 of ulcerative type,5 of nonspecific bronchitic type,1 of fibrostenotic type.Mucosa biopsy and bacteriology confirmed the diagnosis of 26 cases and 18 cases,13 cases of antiacid bacillus have been found in the lavage fluid.Positive results were found in 11 cases before fiberoptic bronchoscopy was performed by sputum acid-fast staining,and in 19 cases after fiberoptic bronchoscopy was performed.Conclusion The clinical features of EBTB with normal chest radiograph are non-specific.When patients with chronic cough,and old patients with diabetes or others chronic respiratory diseases,EBTB should be suspected.Fiberoptic bronchoscopy plays an important role in the diagnosis of EBTB with normal chest radiograph.
【CateGory Index】: R521.2
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