结核专科医院老年急诊病人247例分析  

CLINICAL ANALYSIS ON 247 SENIOR EMERGENCY PATIENTS IN TUBERCULOSIS HOSPITAL

作　　者：黎婉媚[1] 徐改凤[1] 李映文[1] 

机构地区：[1]广州市胸科医院,广东广州510095

出　　处：《现代医院》2009年第3期54-55,共2页Modern Hospitals

摘　　要：目的了解结核专科医院老年急诊病人的临床特点,提高对老年肺结核病的防治能力。方法选取我院急诊观察室2005年1月～2007年12月收治的老年患者临床资料进行回顾性分析。结果结核专科医院老年急诊病人的临床特点为:①男性患者多于女性,男女比例约为4:1。②多数患者有肺结核病史,且病史迁延较长,27.13%患者为不规则抗结核治疗。③急诊以咳嗽、咯痰、气促、咯血等呼吸道症状为主,症状持续时间较长。④基础病或合并症涉及呼吸、心血管、内分泌等多个系统。⑤外院转入病例占一定比例。结论老年肺结核病症状隐匿、不典型,接诊医师对可疑病人要提高警惕,及时作相关检查,及早发现病人。结核专科医院在加强肺结核病防治的同时也要加强急诊科建设,向全科医师方面发展。Objective To understand the clinical characteristics of senior emergency patients with tuberculosis, and upgrade the prevention and treatment of senior tuberculosis. Methods Senior patients accepted to emergency observation room of our hospital from January 2005 to December 2007 are involved in this study to conduct retrospective analysis. Results The clinical characteristics of senior emergency patients in Tuberculosis Hospital are： （1）Men are more than women with a ratio of 4： 1.（2）Most patients have a history of tuberculosis, and history extension is fairly long. 27.13% of the patients accepted irregular anti - tuberculosis treatment. （3）The main symptoms of emergency patients axe respiratory ones like coughing, expectoration, gasping and coughing blood. （4）The basic pathology and complications involve respiration, cardio - vascular and endocrinology etc. （5）Patients transmitted from other hospitals take up a certain proportion. Conclusion The symptoms of senior tuberculosis is secret and not typical. The doctor needs to beware with the suspected patient, conduct relevant examinations and diagnose the patient as soon as possible. In addition to pay attention to promote their development in prevention and treatment of tuberculosis, Tuberculosis Hospital should pay attention to construction of emergency department, with an orientation to foster general practitioners.

关 键 词：结核 老年 急诊 

分 类 号：R521.1[医药卫生—内科学] R47-4[医药卫生—临床医学]