Clinical analysis of 58 cases about simply bronchial tuberculosis

Objective:To explore the clinical features and early definite diagnosis of simply bronchial tuberculosis. Methods: Clinical symptoms, chest X-ray manifestations, fiberoptic bronchoscopic findings, laboratory examination and diease before being diagnosed of 58cases about simply bronchial tuberculosis diagnosed definitely byfiberoptic bronchoscopy were analyzed. Results: Main symptoms were as follows: cough in 54 cases, fever in 22 cases, haemoptysis in 14 cases,dyspnea in 8 cases, weight loss in 7 cases, chest pain in 5 cases, wheezing in 2 cases. 36 cases in chest X-ray were normal. Bronchoscopic results showed exudative lesions in 48.28% of the cases, ulcerative lesions in 10.34%, granulomatous lesions in 29.31%, cicatricial lesions in 12.07%. Positive results were found in 16 out of 58 (27.59%)by sputumacid-fast staining, 19 out of 58(32.76%) by sputum training tuberculosis bacterium before fiberoptic bronchoscopy, 26 out of 58(44.83%) by bronchoscopic brushing smears, and 11 out of 32(34.38%) by bronchialbiopsies. 39 cases were made mistakes before diagnosing, The rate of the wrong diagnosis is 67.24%. Conclusions: The clinical features of simply bronchial tuberculosis are non-specific, and bronchial tuberculosis can not be excluded only by normal chest X-ray findings, bronchoscopy and sputum tuberculosis bacterium plays imporant role in definited iagnosis of the disease. When patients with slight fever of unknown origin or respiratory symptoms do not respond to general treatment,bronchial tuberculosis should be suspected and early fibereoptic bronchoscopy be performed. Fiberoptic bronchoscopic brushing examination for acid-fast bacillus and bronchial biopsy are beneficial to definite diagnosis of simply bronchial tuberculosis.