116章 神奇的非结核分枝杆菌(1 / 2)

“是的,刘主任。”郑毅说道:

“患者的症状表现的确是类似于结核病的表现。”

“但是类似结核病的表现真的不一定就是结核。”

“在抗结核药物治疗无效的前提下。”

“我怀疑这位患者是非结核分枝杆菌病。”

“非结核分枝杆菌病?”这一次,刘宗伟没有再说反对,而是认真地思考起来:“这个病确实会有类似的表现。”

“是的刘主任。”看到刘宗伟的语气有所松动,郑毅也继续开口道:

“非结核分枝杆菌病和结核病类似,都是全身性疾病。”

“并且最常侵犯的器官,都是患者的肺脏。”

“也同样,可以侵犯全身其他器官系统。”

“患者患病后的表现,也一样包括全身中毒症状和局部损害。”

“对于病情进展很快的患者,同样也会侵犯胸膜和心包,引起胸腔积液和心包积液。”

“不仅如此,这个病在CT上的表现有时候也和肺结核极其类似。”

“甚至,用于诊断结核病的抗酸杆菌涂片下痰找结核菌,也很难区分这两种分枝杆菌。”

“因为它们在抗酸染色后的表现也类似。”

“在没有进行菌种鉴定结果的情况下,很多这个病的患者都长期被误诊为结核病。”

“刘主任,我说的没错吧。”

“郑大夫,你说的很有道理。”听着郑毅的分析,刘宗伟点了点头。

非结核分枝杆菌,刘宗伟自然知道是什么。

那是除了结核分枝杆菌复合群麻风分枝杆菌以外的一大类分枝杆菌的总称。

但是非结核分枝杆菌病并不属于强制报告类传染病,所以对于这一类病的发病的确切资料和数据难以掌握。

换句话说……

念及此处。刘宗伟的语气同样又是一变:

“但是我还是不能完全认同你的观点。”

“你应该知道,这个病也太罕见了。”

“这种小概率事件……”

“刘主任,您说的不对。”郑毅据理力争:

“这个病罕见的原因,是因为它的表现和结核病很像。”

“而且,在一些资料上,这个病的发病率和患病率,甚至都超过了结核病。”

“刘主任。”郑毅的语气认真,而且诚挚:

“患者的心包积液量很大,我们可以有足够的标本用来进行细菌培养。”

“进行一个分枝杆菌培养也不是很麻烦。”

说到这里,郑毅不自觉地加重了语气:

“我们都是为了患者好,对不对?”

刘宗伟沉默了一下。

郑毅的最后一句话,还是击中了刘宗伟的软肋。

扪心自卫,刘宗伟对于这位患者的病情也是极其上心,说不为了患者好,那是不可能的。

自己之前只是觉得郑毅的想法纯粹是在外行指导内行,所以才不屑一顾。

不过刚刚郑毅已经说出了他的道理。

而这份道理,刘宗伟现在也不得不表示认同。

“咱们医疗行业的定位是专业技术岗位对吧。”刘宗伟想了想说道:

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