摘要
目的通过对肺结核治疗期出现类赫氏反应的机制、临床表现、诊断及治疗转归进行分析探讨。方法分析2006～2010年收治的505例肺结核病人中出现的25例类赫氏反应。结果类赫氏反应发生率4.95%,多数为青壮年。表现为胸水、病灶暂时性恶化、淋巴结肿大及胸壁结核等,多在抗结核治疗的初1～3个月内发生。结论类赫氏反应多发生于强化期治疗的肺结核病人,临床诊断上需综合判定,维持原治疗方案和积极对症处理,可取得较好治疗效果。
Objective To explore mechanisms of Hodgson reaction,clinical manifestations,diagnosis and treatment turnover during tuberculosis treatment,and to improve the understanding of Hodgson reaction.Methods 25 cases of Hodgson reaction in 505 pulmonary tuberculosis patients admitted from 2006 to 2010 were retrospective analyzed.Results Hodgson reaction rate was 4.95%,most for young.Clinical manifestations were mainly s pleural effusion,a temporary deterioration of lesions,lymph nodes and chest wall tuberculosis,which mainly occurred during anti-TB treatment in the first 1 to 3 months.Conclusion Hodgson reaction occurred in the intensive phase of treatment of tuberculosis patients.It should be integrated to determine the clinical diagnosis,and active symptomatic treatment based on the maintenance of the original therapeutic schedule can achieve better therapeutic effect.
出处
《临床肺科杂志》
2012年第5期864-866,共3页
Journal of Clinical Pulmonary Medicine
关键词
结核
肺/治疗
类赫氏反应
Tuberculosis
Pulmonary/therapy
Hodgson reaction
