摘要
目的探讨免疫抑制并发结核病的临床特征、诊断和治疗。方法分析总结了36例免疫抑制并发结核病的临床资料。结果55%的患者起病时症状轻微,主要表现发热、咳嗽、乏力和胸闷,肺结核、胸膜炎、血行播散性结核、淋巴结核和肾结核常见,52.7%的患者侵犯两个以上器官。影像学多为范围广泛的软性病灶、粟粒结节、胸腔积液、肺门纵隔淋巴结增大和空洞。细菌学和组织学检查有助于诊断,平均确诊时间30.5天,治疗总有效率83.3%,极度免疫功能低下和肝肾功能损害无法使用抗结核药物是影响预后的重要因素。结论免疫抑制并发结核病应引起高度重视,提高认识、正确诊断和及时处理是降低死亡率的重要手段。
Objective： To describe the clinical fetures diagnosis and treatment of the immunity depression concurrence tuberculosis. Methods 36 clinical datum of immunity depression concurrence tuberculosis were analysised. Result： the symptom of pafiants of 55% was not evidence, Mostly manifestations were fever chogh acratia and choking sensation in chest. Pulmonaly tuberculosis pleurisy miliary tuberculosis lymph tuberculosis and tuberculosis of kidney were common. Two organs wene distubed in 52.7% patiants. Softness focus, millet node, pleural effusion, lymph node of hilum of lung and mediastiaum was enlargement. The examination of bacteriology and histology was helpful to diagnosis. Average confirmed diagnostic time was 30.5d, The effective rate was 83.3%, Conclusion： We should pay attention to immunity depression concurrence tuberculosis, right diagnosis and in time treatment are important management in reducing the mortality.
出处
《华西医学》
CAS
2007年第1期65-66,共2页
West China Medical Journal
关键词
结核病
免疫抑制
诊断
治疗
Tuberculosis
Immunity depression
Diagnosis
Treatment
