摘要
目的分析老年痰菌阳性肺结核合并肺部感染患者的临床资料及其漏诊情况。方法回顾性分析某院近3年收治的70例老年痰菌阳性肺结核合并肺部感染者病历资料。结果70例患者均为Ⅲ型肺结核,主要临床表现为发热、咳嗽、咳痰,咯血,肺部啰音,其中64.29%的患者有结核史,PPD阴性者占60%;胸片示病变主要分布在肺上叶尖后段及下叶背段者65例,5例位于肺下叶基底段。肺部感染57例为细菌性,13例为真菌性。初诊为肺部感染者58例,结核漏诊率为82.86%。结论老年痰菌阳性肺结核患者易合并肺部感染,且结核漏诊率高,应加强对老年患者的结核病筛查。
Objective To analyse clinical data and missed diagnosis of pulmonary tuberculosis associated with lung infection in old patients. Methods Clinical data of 70 old patients with pulmonary tuberculosis associated with lung infection in a hospital in recent three years were analysed. Results All 70 patients were type Ⅲ pulmonary tuberculosis, the main manifestations were fever, cough, expectoration, hemoptysis, lung rales, 64. 29% of patients were with a history of tuberculosis, 60% were PPD negative; chest X-ray suggested the lesion were mainly distributed at apicoposterior segment of upper lobes and dorsal segment of lower lobes （65 cases） and basal segment of lower lobes （5 cases）. 57 and 13 cases of lung infection was caused by bacteria and fungi respectively. 58 cases were diagnosed as lung infection at initial diagnosis, 82.86% of pulmonary tuberculosis diagnosis were missed. Conclusion Pulmonary tuberculosis with positive bacteria sputum is apt to develop lung infection, and missed diagnosis is high, screen of pulmonary tuberculosis in old patients should be strengthened.
出处
《中国感染控制杂志》
CAS
2006年第4期327-329,共3页
Chinese Journal of Infection Control
关键词
老年人
肺结核
肺炎
漏诊
aged people
pulmonary tuberculosis
pneumonia
missed diagnosis
