支气管色素沉着纤维化合并结核性胸膜炎4例并文献复习

马玉娟，党焱，李敏，何小鹏，陈剑辉

（陕西省咸阳市中心医院呼吸内科，陕西 咸阳，712000）

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摘要：

目的 通过分析4例支气管色素沉着纤维化并结核性渗出性胸膜炎的临床治疗方法，提高对支气管色素沉着纤维化与结核感染相关性的认识。方法 回顾性分析咸阳市中心医院收治的4例支气管色素沉着纤维化并结核性渗出性胸膜炎患者的临床表现和诊断过程，以组织病理学确诊，并结合其他相关文献进行分析。结果 4例患者均为肺叶不张合并同侧胸腔积 液，气管镜下均表现为支气管内黑斑沉着并管腔狭窄或闭锁，分别经胸腔镜检查、胸膜腔闭式活检确诊或临床诊断为结核性胸膜炎，经抗结核治疗后病情好转。结论 支气管色素沉着纤维化与结核感染密切相关，但在未取得充分证据前，不能盲目进行抗结核治疗。

关键词：支气管色素沉着纤维化；结核性胸膜炎；渗出性胸膜炎

中图分类号：R562.2；R521.7文献标志码：A文章编号：2096-1413(2017)04-0183-03

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