摘要
目的 探讨老年人肺结核病的临床特点 .方法 回顾性分析了 5 9例 6 0岁以上老年肺结核的临床表现、肺 X线特征、诊断及治疗效果 .结果 15 9例患者以肺结核诊断入院者 2 1例 (35 .6 % ) ,其他疾病 (非结核病 )入院者 38例(6 4.4% ) ,其中 14例为复发性肺结核 ;2 5 4例 (91.5 % )合并有不同脏器疾病 ;34 4例经抗结核治疗后治愈或好转 ,总有效率为 74.6 % ;4死亡 7例 (13.4% ) ,其中因确诊晚未及治疗的 3例 ,合并肿瘤死亡 4例 .结论 老年人肺结核临床表现不典型 ,合并症多 ,诊断和治疗较困难 .提高对老年肺结核的注意 。
AIM To analyze the clinical features of elder patients with pulmonary tuberculosis (TB). METHODS Retrospective analyses of the clinical manifestation, pulmonary X-ray features, diagnosis and treatment efficiency of 59 patients (>60) with pulmonary TB from 1995 to 1998 in our hospital were made. RESULTS ① 21 (35.6%) cases of 59 patients with pulmonary TB were hospitalized with first diagnosis of pulmonary TB, while 38 (64.4%) cases with first diagnosis of non-pulmonary TB, and 14 (23.7%) cases with relapsing pulmonary TB; ② 54 (91.5%) cases were found with different degree of other organ diseases; ③ 44 (74.6%) cases after anti-TB chemical therapy were cured or improved; 7 (13.4%) cases died of malignant tumors and other causes. CONCLUSION The clinical manifestations in elder pulmonary TB were not typical, often complicated with other diseases, and the diagnosis and treatment for them were more difficult. Therefore, the enhancement of medical workers' vigilance for elder pulmonary TB is very important.
出处
《第四军医大学学报》
2000年第7期872-874,共3页
Journal of the Fourth Military Medical University
关键词
肺结核
老年人
临床特点
病例分析
pulmonary tuberculosis
elder
clinical feature analysis
