摘要
目的探讨老年慢性阻塞性肺疾病合并肺结核感染的临床诊断特点及临床治疗效果。方法回顾性分析2010年6月～2011年6月我院呼吸内科收治的64例慢性阻塞性肺疾病合并肺结核患者的临床资料，并总结出慢性阻塞性肺疾病合并肺结核患者的临床诊断特点。结果经过对患者的资料进行回顾性分析后，男性患者多于女性患者，有大部分患者有吸烟史，患者还合并不同程度的肺部感染等，经痰培养试验检查结核杆菌阳性率阳性率高。影像学检查显示，约79％以上的患者结果显示不同程度的肺气肿，胸片无特征性结核表现，所以在临床诊断上容易误诊。结论临床上慢性阻塞性肺疾病合并肺结核的发病特点复杂多变，无特征性临床表现，容易被漏诊，所以在临床诊断和治疗的时候要认真、仔细，做到早发现、早治疗。
Objective To discuss the Diagnostic features and curative effect of senile chronic obstructive pulmonary disease in patients with pulmonary tuberculosis. Methods A clinical data of 64 cases of patients with chronic obstructive pulmonary disease combined with pulmonary tuberculosis was retrospectively analyzed from June 2010 to June 2011 in our department of respiratory,and the clinical characteristics of patients with COPD combined with pulmonary tuberculosis were summarized. Results Male patients were more than female patients through retrospective analysis of the clinical data.A majority of patients had a history of smoking,combined with different severity of pulmonary infection.The positive rate of Mycobacterium tuberculosis was high through test of sputum culture. About more than 79% of patients showed different degrees of emphysema by imaging studies,no characteristic tuberculosis by chest X-ray,so it was easy to make misdiagnosis in clinic. Conclusion The clinical features of COPD combined with pulmonary tuberculosis is complicated, no characteristic clinical manifestations, which is easy to be missed,so it is important to be careful for early detection and early treatment.
出处
《中国医药科学》
2013年第17期209-210,共2页
China Medicine And Pharmacy
关键词
慢性阻塞性肺疾病
肺结核
诊断
疗效
Chronic obstructive pulmonary disease
Pulmonary tuberculosis
Diagnosis
Curative effect
