煤工尘肺合并结核分支杆菌L型感染的临床研究  

Clinical Study on Coal workers' Pneumoconiosis Combined with L-form of Mycobacterium tuberculosis

作　　者：姜平[1] 冯柏[1] 刘宇红[2] 王国杨[1] 孔冬青[1] 郑林[1] 安淑芹 王甦民[2] 

机构地区：[1]北京京煤集团总医院,102380 [2]北京市结核病肿瘤研究所

出　　处：《职业与健康》2005年第7期997-998,共2页Occupation and Health

摘　　要：目的探讨L型菌培养在煤工尘肺结核诊断中的应用价值。方法将100例煤工尘肺结核住院病人的晨痰标本,进行涂片、罗氏培养及L型菌培养,并将其结果进行分析。结果涂片阳性6例,罗氏培养阳性3例,L型培养6例。通过检验在尘肺结核诊断中L型菌涂片对结核分支杆菌L型检出意义不大。L型培养比罗氏培养高出1倍,无统计学意义。结论L型菌培养可作为临床诊断尘肺结核的一种方法,予以应用。且方法简便易普及,如果在病例选择及实验技巧上再稍加改进,应可得到满意的结果。[Objective] To evaluate the diagnostic value of the culture of L-form mycobacterium tuberculosis on pneumoconiosis patients. [Methods] Morning sputum samples of 100 pneumoconiosis patients were collected, smeared and cultured with Lowenstin-Jensen and L-form. Analysis was conducted on the result. [Results] 6 cases were found positive in smear, 3 positive in Lowenstin-Jensen culture and 6 positive in L-form culture. The result proved little value in mere L-form smear for detecting L-form mycobacterium tuberculosis. The positive rate of L-form culture was twice of that of Lowenstin-Jensen culture, it has no statistic significance. [Conclusion] L-form mycobacterium culture is clinically applicable in diagnosing pneumoconiosis tuberculosis.

关 键 词：煤工尘肺 结核 L型菌 

分 类 号：R521[医药卫生—内科学]