临床荟萃

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菌阴肺结核诊断

  

  1. 河北省胸科医院 结核三科, 河北 石家庄 050041
  • 出版日期:2016-10-05 发布日期:2016-10-11
  • 通讯作者: 通信作者:陈素丽,Email:chensulixkyy@126.com
  • 作者简介:陈素丽,主任医师,教授,医学硕士,现任河北省胸科医院结核三科主任,河北省医学会结核病学专业委员会委员、河北省防痨协会理事,石家庄市医学会结核分会委员,河北省中西医结合分会委员。

Diagnosis of smearnegative pulmonary  tuberculosis

  1. Department of Tuberculosis, Hebei Chest Hospital, Shijiazhuang  050041, China
  • Online:2016-10-05 Published:2016-10-11
  • Contact: Corresponding author:Chen Suli,Email:chensulixkyy@126.com

摘要: 肺结核诊断的难点在菌阴肺结核,菌阴肺结核的诊断主要结合临床特点、胸部影像学表现、实验室检查,根据诊断标准综合判断。痰培养是金标准,但周期长阳性率低。新的分子生物学和细胞免疫学检查方法越来越受到临床的重视。

关键词: 结核, 肺, 诊断

Abstract: Smearnegative tuberculosis has been a difficulty in the diagnostic process of pulmonary tuberculosis (TB). Diagnosis of TB mainly relies on the clinical features, chest imaging manifestations and laboratory tests. Although sputum culture is the gold standard in diagnosis of TB, it has a very poor sensitivity and takes a relatively long period of time to get. Considering the limitations of conventional methods to test TB, new molecular methods and cellular immunological examinations are getting more and more attention in TB clinical diagnosis.

Key words: tuberculosis, pulmonary;diagnosis