结缔组织疾病并发菌阳肺结核33例临床分析  

Clinical analysis of 33 cases of connective tissue disease co m plicated with infectious pulmonary tuberculosis

作　　者：卜建玲[1] 高薇薇[1] 刘红[1] 马屿[1] 

机构地区：[1]北京市结核病胸部肿瘤研究所,101149

出　　处：《中国防痨杂志》1999年第3期140-141,共2页Chinese Journal of Antituberculosis

摘　　要：目的　分析结缔组织疾病并发肺结核的临床特点。方法　回顾性分析１９８４ ～１９９８ 年收治的结缔组织疾病并发菌阳肺结核３３ 例。结果　１ ．３３ 例中的２０ 例（７１４ ％ ） 在肺结核发病前较长期服用免疫抑制剂。２ ．胸部 Ｘ 线表现病变广泛，其中８１８ ％ 有空洞，６６７ ％ 伴肺间质改变，６９７ ％ 伴胸膜增厚。３ ．肺结核较易被漏诊或误诊，且预后不良。结论　结缔组织疾病患者应警惕肺结核的发生，做到早期诊治，以期取得良好预后。Objective To analyze the clinical characteristics of connective tissue disease complicated with pulmonarytuberculosis. Method To retrospectively analyze 33 cases of connective tissue diseases complicated with infectious pulmonarytuberculosis treated during 1984 ～1998 . Results 1 .71 4 % ofthe patients had along term treatment with im munodepressiondrugs before onset of pulmonary tuberculosis in 33 cases.2 . The disease were extensive in chest X ray examination ,81 8 %with pulmonary cavities,66 7 % with pulmonary interstitialchanges,69 7 % with pleuralthickening .3 . Pulmonary tuberculosiswere easily misdiagnosed and leakdiagnosed ,prognosis were worse . Conclusion We might look out for occurrence of pul monary T Bin patients with connective tissue disease for early diagnosis 、treatment and favourable prognosis.

关 键 词：结缔组织疾病 肺结核 并发症 临床分析 

分 类 号：R593.2[医药卫生—内科学] R521.06[医药卫生—临床医学]