40例非结核分支杆菌肺病的临床分析  

Non-tuberculosis mycobacterium tuberculosis clinical analysis of 40 cases

作　　者：黄国楼 

机构地区：[1]广东省惠州市结核病防治研究所,516008

出　　处：《中国现代药物应用》2009年第3期19-20,共2页Chinese Journal of Modern Drug Application

摘　　要：目的了解非结核分支杆菌(NTM)肺病对一线抗痨药物的耐药情况,探讨NTM肺病反复发作的原因。方法在本研究所2003-2008年间876例分支杆菌培养阳性的病例中,经鉴定确诊为NTM肺病的资料完整的40例病例进行回顾性分析。结果40例患者中多数对一线抗痨药物(异胭肼,利福平,链霉素)耐药,而对乙胺丁醇的敏感性较好:40例患者中既往"肺结核"病史较长,平均6年,最长达15年:平均治疗次数1.86次,最长达6次。结论对于分支杆菌培养阳性的患者应及早做菌种鉴定,一经确诊应做多种药物的敏感试验,选择最佳联合治疗方案,并坚持全程化疗。Objective To understanding of non-tuberculosis mycobacterium(NTM)lung disease on the first-line anti-TB drug resistance,to explore NTM recurrent disease.Methods In our hospital from 2003 to 2008,876 cases of Mycobacterium culture-positive cases identified by Yin-lung disease diagnosed NTM information complete medical records of 40 cases were reviewed.Results 40 cases of patients in the majority of first-line anti-TB drugs(rouge different hydrazine,rifampicin,streptomycin)resistance,and ethambutol of the sen...

关 键 词：分支杆菌 非结核 非结核分支杆菌肺病 临床 

分 类 号：R516[医药卫生—内科学]