【摘要】 目的 提高对结核性大叶性肺炎(或称大叶性肺炎型肺结核)的认识。方法 对10例结核性大叶性肺炎进行了综合分析。结果 10例患者均以急性发病形式起病,9例表现为持续高热, 血象均低于10×10⁹ /L,胸部X线片均示肺叶分布的渗出性病变,且在短期内可有明显改变。全部患者均对抗生素治疗无效,治疗中病灶可于短期内显著增大,抗结核治疗后病灶则可于短期内明显吸收,且无空洞形成。结论 早期行经支气管壁肺活检(TBLB)和(或)支气管内膜刷检可助早期诊断和早期治疗。

    Analysis of lobar pneumonic tuberculosis Zhu Guangqing, Ji Shuguo. Department of Respiratory Medicine,General Hospital of Air Force, PLA ，Beijing 100036

     【Abstract 】 Objective To heighten theawareness of lobar pneumonic tuberculosis(or tuberculous pneumonia or acute pneumonictuberculosis). Method 10 cases with lobar pneumonictuberculosis were reviewed.Result All the patientsshowed acute onsets and 9 of them had a continuous high fever, and their WBC was not foundhigher than 10×10⁹ /L.All of the patients' chest radiographs showed aconsolidation in one or two lobars, and in 30 % ofthe patients pleural effusions were found. Significant roent genographic changes couldoccur in short duration. All the patients were not sensitive to common antibiotics, andthe shadow could enlarge in short time. Exudative foci could be absorbed shortly afterantituberculosis chemotherapy, and no cavitation was found. Conclusion An early transbroncho-lung biopsy (TBLB) and (or) brushing smearmay be advantageous to early diagnosis and treatment of this illness.

     【Key words 】 Tuberculosis, pulmonary Pneumonia Biopsy

    

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