结核病死亡59例临床分析  

TB clinical analysis of 59 cases of death

作　　者：吴红梅[1] 

机构地区：[1]吉林省延边结核病防治所,吉林延吉133000

出　　处：《中国当代医药》2011年第6期145-146,共2页China Modern Medicine

摘　　要：目的:对结核病的死亡原因进行分析,采用及时的诊断和有效的治疗措施。方法:通过死亡病例的查阅,对直接死因、并发症、结核病诊治情况进行综合分析。结果:①59例死亡患者中以呼吸循环衰竭、多脏器功能衰竭为多见。②两种以上并发症者55例,占93.2%;继发肺内感染者37例,占62.7%。③死亡病例中50岁以上33例,占55.9%。④以肺结核死亡的59例中复治38例,占64.4%,其中复治涂阳22例,占57.9%。结论:结核病死亡病例大部分病史长,体质差,免疫力低下,并发症多,反复感染,迁延不愈,易致死亡。要切实加强结核病的规范化管理,早期诊断与治疗,积极控制并发症是减少结核病死亡的根本措施。Objective： TB on an analysis of causes of death, to adopt timely diagnosis and effective treatment measures. Methods： Through the deaths of reference, analysed the direct cause of death, complications, diagnosis and treatment of TB of the situation comprehensively. Results： ①59 deaths in patients with respiratory and circulatory failure, multiple organ failure were more common. ②Two or more complications were 55 cases, accounting for 93.2 percent; secondary pulmonary infection were 37 cases, accounting for 62.7 percent. ③Deats in 33 patients over 50 years old, accounting for 55.9 percent. ④To the death of 59 cases of tuberculosis in re-treated 38 cases, accounting for 64.4 percent, re-treated 22 cases of smear-positive, accounting for 57.9%. Conclusion： Most cases of TB deaths a long history, poor health, lowimmunity, and more complications, repeted infections, protracted course of disease, easily lead to death. To strengthen the standardization of the management of TB, active TB control TB control is to reduce the complications of the death of the fundamentai menasures.

关 键 词：结核死亡 老年结核 并发症 复治患者 

分 类 号：R52[医药卫生—内科学]