摘要
目的探讨老年人血行播散型肺结核的临床特点。方法对1984年1月至2004年2月本院收治的30例老年血行播散型肺结核患者的临床特点进行回顾性分析。结果入院时确诊为血行播散型肺结核者12例,确诊率为40%,其余误诊,延误时间10d至6个月。好转出院21例;恶化、放弃治疗7例(经随访出院后均死亡);死亡2例。结论老年血行播散型肺结核误诊率高,症状不典型,合并症多,治疗效果差,死亡率高。提高对老年血行播散型肺结核的警惕性,是降低其死亡率的有效措施。
Objective To study the clinical profiles of elderly hemeatogenous disseminated pulmonary tuberculosis（EHDPT）. Methods The clinical features,diagnosis,treatment and outcome of 30 elderly inpatients treated in our hospital from January 1984 to February 2004 were analyzed retrospectively. Results Elderly hemeatogenous disseminated plumonary tuberculosis had high misdiagnosis rate. Its clinical symptoms were nonspecific for diagnosis. It had more complications and a bad outcome. It had high mortality rate. Conclusion The effective measures for decreasing its mortality should be paid more attention to. Diagnosing and treating it earlier is a key.
出处
《中国基层医药》
CAS
2006年第4期577-578,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肺
结核
老年人
诊断
鉴别
Tuberculosis, pulmonary
Aged
Diagnosis, differential
