原发纵隔淋巴结结核两例

本文介绍两例原发性纵隔淋巴结结核累及右侧支气管患者的病例资料。患者以咳嗽、痰中带血为主要临床表现，胸部增强CT检查提示纵隔淋巴结肿大伴环形强化，支气管镜检查提示右侧支气管新生物，淋巴结穿刺活检及腔内新生物活检病理学检查明确为结核病，经全身抗结核和局部介入治疗后临床和影像学表现改善。
Abstract: Two cases of primary mediastinal lymphonode tuberculosis involved right bronchus were summarized in the report. Major clinical symptoms included cough and bloody sputum. Chest enhanced CT scan showed mediastinal lymph node enlargement with ring-shaped enhancement. Bronchoscopy suggested neoplasm in right bronchus. Diagnosis of tuberculosis was confirmed by histopathology in samples from lymph node puncture and brochoscopic biopsy. The clinical symptoms and medical imaging of patients were improved after transbrochoscopic interventional therapy and systemic chemotherapy. Key words: Tuberculosis, lymph node/diagnosis Tuberculosis, lymph node/drug therapy Sputum/microbiology Mediastinal diseases/diagnosis Mediastinal diseases/drug therapy Bronchoscopy Tomography, X-ray computed