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相關文獻
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題 名 | Tuberculous Pleurisy with Unusual Radiographic Finding: A Case Report=結核性肋膜炎之不尋常影像表現--病例報告 |
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作 者 | 楊盈盈; 蘇維鈞; 彭瑞鵬; | 書刊名 | 胸腔醫學 |
卷 期 | 13:4 1998.12[民87.12] |
頁 次 | 頁235-240 |
分類號 | 415.43 |
關鍵詞 | 肋膜性結核; 肋膜積水; TB pleurisy; Pleural effusion; |
語 文 | 英文(English) |
中文摘要 | 過去四十年來,雖然肺結核病例已大幅減少,但仍是目前台灣最常見 的報告傳染病。肺外結核病例則無明顯變化,約占所有結核病例數之百分之十點 三,其中肋膜積水是結核病常見之肺外表現之一。根據文獻報告結核性肋膜積水 常發生於單側肺野,且右側多於左側。我們在此提出一個以兩側多發性肋膜積水 來表現之肋膜性結核,從到本院前三個月開始此病人就斷斷續續被氣促, 發燒, 全身乏力及體重減少干擾。病人在疑似肺結核感染下被轉診至我們醫院。但在本 院由於臨床上惡病體質及影像學之怪異表現,診查的方向是比較趨向於肺癌。經 一系列的診查後,此病例終究被診斷為肋膜性結核,但很不幸的此病人死於敗血 症,由此病人身上,我們知道結核病之正確診斷有賴於高度的警覺心及耐心。 |
英文摘要 | Tuberculosis (TB) remains the most common reportable causes of death in Taiwan. Although the incidence of pulmonary tuberculosis throughout Taiwan is declining rapidly in the past 40 years, the number of extrapulmonary TB has remained constant. It represents about 10.3% of all reported TB cases in Taiwan. Pleural TB is a common form of extrapulmonary TB. It most frequently occurs with pulmonary infection. Chest radiography usually revealed only the unilateral effusion without multiple involvement. Pleural effusion is located more commonly in the right side than the left side. We present an unusual case of pleural TB with bilateral multiple encapsulated pleural effusions. The patient presented with dyspnea, intermittent fever, general malaise, and body weight loss for three months, and was transferred to our hospital under the impression of pulmonary tuberculosis. At our hospital, bronchogenic carcinoma was also suspected due to bizarre imaging presentation. After a series of investigations, he was finally proved to have TB pleurisy. Unfortunately, the patient died of sepsis. We learned from this case that prompt and accurate diagnosis depends on physician alertness and patience. |
本系統中英文摘要資訊取自各篇刊載內容。