老年结核性胸膜炎的临床特点与诊治  

Clinical features and treatment of senile tuberculous pleurisy

作　　者：牛俊梅[1] 张东杰[1] 

机构地区：[1]新乡医学院第一附属医院结核内一科,河南新乡453100

出　　处：《中国现代医学杂志》2011年第22期2768-2770,共3页China Journal of Modern Medicine

摘　　要：目的探讨老年结核性胸膜炎的临床特点,评价其治疗方法。方法对90例老年结核性胸膜炎患者的临床资料进行回顾性分析,并与同期治疗的青年结核性胸膜炎患者的临床资料进行比较,分析老年患者的临床特点和治疗方法。结果老年结核性胸膜炎患者的临床表现主要为咳嗽、气急和纳差,与青年组有明显不同,并发症高于青年组,胸腔积液的吸收时间长,治愈率低,不良反应多,与青年组相比,差异有显著性(P<0.05)。结论老年结核性胸膜炎的病情复杂,掌握其临床特点,及早诊断和积极治疗可提高临床疗效。【Objective】 To explore the clinical features of tuberculous pleurisy in the elderly and evaluate the treatment methods.【Methods】 90 cases of the aged patients with tuberculous pleurisy were reviewed and analyzed retrospectively.90 cases of tuberculous pleurisy in adults during the corresponding period were chosen for comparison to analyze the clinical features and treatment of the elderly.【Results】 The clinical symptoms of the elderly were different from the young obviously.The clinical manifestations of the aged were cough,dyspnea and anorexia and the complications of the aged were much more than the young.After treatment,it took longer time for the aged to absorb the pleural effusion than the young and the healing rate was lower（P 0.05）.The aged had more side effects than the young（P 0.05）.【Conclusion】 The state of senile tuberculous pleurisy are complex.In order to promote the clinical efficacy,the clinical features should be mastered and the diagnosis and treatment should be early and active.

关 键 词：结核性胸膜炎 老年 临床特点 诊治 

分 类 号：R52[医药卫生—内科学]