Objective To heighten the diagnosis and cure of lobar pneumonic tuberculosis. Methods 10 cases with lobar pneumonic tuberculosis were reviewed. Results All the patients showed acute onsets and 9 of them had a continuous high fever, and their WBC was not found higher than 10 × 109/L. All of the patients’chest radiographs showed a consolidation in one or two lobars, and 30%of the patients pleural effusions were found. Significant roent genographic changes could occur in short duration. All the patients were not sensitive to common antibiotics, and the shadow could enlarge in short time. Exudative foci could be absorbed shortly after antituberculosis chemotherapy, and no cavitation was found. Conclusion Notice to distinguish lobar pneumonic tuberculosis and ordinary lobar pneumonic. An early transbroncho-lung biopsy (TBLB) and (or) brushing of bronchial tube may be advantageous to early diagnosis and treatment of this illness.%目的提高对结核性大叶性肺炎的诊治技术水平。方法对10例结核性大叶性肺炎的诊断治疗过程进行研究分析。结果10例患者均以急起病，9例表现为持续高热，血液中白细胞均低于10×109/L，胸部X线片示肺叶分布的渗出性病变，而且在短期内可有明显改变。全部患者均对抗生素治疗无效，治疗期间病灶可短期内显著增大，抗结核治疗后病灶可短期内明显吸收，而且无空洞形成。结论要注意结核性大叶性肺炎与一般大叶性肺炎的区别，早期经支气管壁肺活检（TBLB）和（或）支气管内膜刷检可帮助对结核性大叶性肺炎的早期诊断和及时治疗。
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