摘要
目的分析高原藏族结核性支扩的临床表现、影像学检查特点及治疗。方法对我院2010年1月至2012年11月收治的38例高原藏族结核性支气管扩张的住院患者分析。结果病变范围一个肺叶以内19例,经内科治疗后,3年内随访无咳嗽、咯痰、咯血者16例,占84.21%,超过一个肺叶仅累及单侧者12例,经内科治疗后无反复咳嗽、咯痰、咯血5例,占41.66%,因出现大咯血作手术者1例,占8.33%。结论对结核性支气管扩张患者,管腔严重狭窄,远端肺组织反复感染,合并顽固性咳嗽、咯痰、咯血等,并呈现毁损肺等,应及早手术治疗。
Objective To analyze the clinical manifestations, characteristic of imaging studies and treatment of Platean Tibetan tuberculous bronchiectasis. Methods 38 cases of Plateau Tibetan patients with tuberculous bronchiectasis treated in our hospital from January 2010 to November 2012 were analyzed. Results 19 cases of lesion extents were limited within one lobe, and 16 of them （84.21%） were not found cough, expectoration or hemoptysis in 3 years follow-up after medical treatment. 12 cases of lesion extents were more than one lobe but within single side, and 5 of them （41.66%） were not found cough, expectoration or hemoptysis in follow-up after medical treatment, and 1 of them （8.33%） was surgery for treatment of massive hemoptysis. Conclusion Tuberculous bronchiectasis patients, lumen stenosis, distal lung tissue repeated infections, complicated with intractable cough, expectoration, hemoptysis, and render the destroyed lung, and early surgery should be taken if both sides were involved and indications for surgery were found.
出处
《中国医药指南》
2013年第11期400-401,共2页
Guide of China Medicine
关键词
肺结核
支气管扩张
临床观察
Tuberculosis
Bronchiectasis
Clinical observation
