类固醇性结核病59例分析  

Analysis on 59 patients with pulmonary tuberculosis complicated with corticosteroids

作　　者：梁建琴[1] 王金河[1] 王巍[1] 张广宇[1] 王安生[1] 陈志[1] 冯士生[1] 王瑞岚[1] 

机构地区：[1]解放军总医院第二附属医院结核病研究所,北京100091

出　　处：《中国防痨杂志》2009年第5期298-300,共3页Chinese Journal of Antituberculosis

摘　　要：目的分析类固醇性结核病的临床特点。方法回顾性分析2001—2006年间在类固醇激素治疗过程中发现的59例住院结核病例。结果59例均经过12个月的抗结核治疗,有效率78.3%,5例死亡患者均为耐多药结核病(MDR-TB),无缓解者8例;胸部X线表现病变广泛,病变缩小49例,空洞缩小12例;痰结核分枝杆菌菌阴转17例。结论类固醇性结核病重在预防,需定期随访X线胸片和痰抗酸染色镜检,及时治疗可以获得满意疗效。Objective To analyze the clinical characteristics of pulmonary tuberculosis compli- cated with corticosteroids. Methods We analyzed retrospectively 59 hospitalized patients with pul- monary tuberculosis complicated with corticosteroids treated in hospital during 2001--2006. Results All patients received treatment for twelve months. The effective rate was 78. 3 %, 5 patients died of multi-drug resistant tuberculosis （MDR-TB）, 8 patients had no response; Among patients with ex- tensive lesions in Chest X-ray, lesion decreased in 49 cases, cavities shrunk in 12 cases, and sputum smear converted to negative in 17 cases. Conclusions The prevention of pulmonary tuberculosis complicated with corticosteroids should be awared, with following-up for chest X-ray and sputum smear performed periodicitily. Good therapeutic efficacy can be seen when treatment given in time.

关 键 词：结核 肺/病因学 结核 胸膜/病因学 肾上腺皮质激素类 

分 类 号：R52[医药卫生—内科学] R563.1[医药卫生—临床医学]