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我科自1982～1988年10月共收治结核性脓胸及限局性结核性胸膜炎病人320例。其中9例曾长期抗结核治疗未见好转,后经胸液脱落细胞及胸膜、肺组织病理检查,确诊为原发性支气管肺癌胸膜转移并癌性胸膜炎,平均误诊时间10个月。现分析如下,以吸取经验教训。
Our department from 1982 to October 1988 were admitted to tuberculosis empyema and tuberculous pleurisy limited 320 cases. Among them, 9 cases had long-term anti-TB treatment without improvement. After exfoliated cells of pleural effusion and pleura, lung tissue pathology, diagnosed as primary bronchial lung cancer with pleural metastasis and cancerous pleurisy, the average misdiagnosis time was 10 months. Now analyze as follows to learn lessons.