86例老年性肺结核临床分析  

Clinic Analysis 86 Cases of Senile Pulmonary Tuberculosis

作　　者：何波[1] 

机构地区：[1]四川省攀枝花市第四人民医院肺病科,617061

出　　处：《中国医疗前沿》2010年第12期29-29,75,共2页China Healthcare Innovation

摘　　要：目的观察老年性肺结核的临床特点。方法对2003年1月～2008年12月所收治86例老年肺结核病例进行回顾性调查分析,分析其基础疾病、起病及临床特征等。结果老年肺结核患者病情重、症状不典型、X线表现不典型、具有四多一差(因症就诊多、合并症多、误诊者多、复发者多、治疗效果差)等现象。结论各级综合医院医师,应熟悉肺结核的早期非特异性症状,对具有肺部疾患出现原因不明的发热、咳嗽、咯血、食欲减退、呼吸困难为主要症状者应高度警惕肺结核存在的可能性,正确运用辅助检查,重视X线胸片、痰菌检查手段,做到早期发现病人。对接受抗痨治疗的病人,注重规范化治疗与个体化治疗相结合的原则,积极治疗肺部感染、糖尿病等合并症,定期复查肝功能,避免和减少毒副反应发生。Objective To investigate the clinical features of senile tuberculosis.Methods From 2003.01-2008.12 by 86 cases of senile pulmonary tuberculosis patients treated were retrospectively analyzed for its underlying diseases,onset and clinical characteristics.Results Elderly patients with severe pulmonary tuberculosis,atypical symptoms,X-ray is not typical,senile pulmonary tuberculosis patients has four more and one bad at clinic （more seeing a doctor for uncomfortable symptom,more senile,more misdiagnose,more recur,bad treatment effect）.Conclusion The doctors working at general hospital should be familiar with non specific symptom of pulmonary tuberculosis at early stage.Aiming at the patient suffer from pulmonary disease appear fever,cough,hemopotysis,anorexia,dyspnea should highly guard the probability of pulmonary tuberculosis and accurately utilize assistant examination such as X-ray sternum,sputum check in order to discover patient at early stage.We should attach importance to standardization treatment combined with individuation treatment.We should actively treat complication such as pulmonary infection,diabetes etc and recheck liver function at regular intervials.Avoid and reduce toxic reaction and adverse reaction.

关 键 词：老年 肺结核 临床分析 

分 类 号：R521[医药卫生—内科学]