摘要
目的分析初治老年性肺结核临床特点及治疗。方法对390例初治老年性肺结核症状、胸片、痰检、结核菌素试验、抗结核抗体试验、血沉进行统升。结果老年性肺结核一周确诊率占14.9%。有明显结核中毒症状占9.8%,有典型肺结核影像占24.6%,痰涂片阳性率占56.1%。OT(+)占58%。抗结核抗体阳性率占75%,血沉增快占64%。结论老年性肺结核临床症状不典型,典型肺结核影像不突出,但痰菌阳性率较高,血沉普遍加快,抗结核抗体试验阳性率高,治疗要采用对人体损害小的抗结核治疗方案,剂量为成人的2/3。
Objective To analyze clinical characteristics and treatment effects among older pulmonary tuberculosis population. Methods A total of 390 TB cases at their preliminary stage participated in the study. The clinical symptoms and the data of X-rays, sputum examinations, OT examinations, anti-TB antibody examinations, and ESR were summarized and analyzed. Results The results had shown the following: 14. 9% of the patients were confirmed as TB within a week, 9. 8% had apparent TB toxic symptoms, 24. 6% had typical pulmonary TB X-rays, 56. 1% had positive sputum smear, 58% had positive OT, 75% had antibody on TB being positive and 64% had increased ESR. Conclusion The clinical symptoms among older TB populations are not typical and the X-rays are not very apparent. However, the sputum examinations have shown a high positive rate and the ESR has increased dramatically. A high positive rate on antibody TB indicates that the treatment on TB for the older population should select those that have relatively small side-effect and the dosage use should be at most 2/3 of the adult's.
出处
《临床肺科杂志》
2005年第2期203-204,共2页
Journal of Clinical Pulmonary Medicine
关键词
肺结核
Old population, pulmonary disease, TB
