摘要
目的:探讨老年人支气管结核的临床、胸部x线及在纤支镜下的特征。方法:对68例60岁以上老年支气管结核资料进行回顾性分析。结果:老年人支气管结核占同期支气管结核的15.7%;临床上以咳嗽为主要症状(88.2%);胸部X线表现以浸润性片状阴影(41.2%)和肺不张常见(35.3%);纤支镜下炎症浸润型和瘢痕狭窄型分别占42.7%和38.2%;纤支镜刷检涂片抗酸杆菌阳性率为83.5%,纤支镜病理活检阳性率为30.9%。结论:老年人支气管结核的临床症状和胸部X线表现均无特异性,经纤支镜病理活检和刷检找抗酸杆菌是确诊老年人支气管结核的主要手段。
Objective:To study the features of clinical symptoms,chest X-ray manifestation and pathologic alteration by fibrobronchoscopy in elderly patients with bronchial tuberculosis.Methods:We analysed retrospectively the clinical data of 68 bronchial tuberculosis patients (range 60～86 years old)enrolled form July,1981 to October,2002. Results:15.7% of 432 patitents with bronchial tuberculosis were the elderly.Cough was a chief symptom(88.2%).The chest radiographs of bronchial tuberculosis patients presented basically infiltrative flaky opacities (41.2%) and atelectatic opacities (35.3%).Among 68 patients with bronchial tuberculosis,42.7% had inflammatory infiltration,38.2% had scaring stenosis by bronchoscopy,85.3% showed the positive result in acid-fast staining by bronchoscopic brushing smear,30.9% showed the positive pathologic results by bronchoscopy.Conclusions:The symptom and the chest radiographs of bronchial tuberculosis in the elderly are non-specific.Fibrobronchoscopic brushing examination for acid-fast bacillus and bronchial biopsy are principial method in establishing the definitive diagnosis of bronchial tuberculosis in the elderly.
出处
《华西医学》
CAS
2005年第2期283-284,共2页
West China Medical Journal
