老年肺结核临床特点  

THE CLINICAL CHARACTERIS TICS OF PULMONARY TUBERCULOSIS IN ELDERLY PATIENTS

作　　者：黄蓉蓉[1] 刘翠英[1] 罗琳[1] 刘凌 

机构地区：[1]四川省卫生管理干部学院,航天工业部363医院

出　　处：《四川省卫生管理干部学院学报》1994年第1期3-5,共3页Journal of Sichuan Continuing Education College of Medical Sciences

摘　　要：本文１２０例老年肺结核与青年组患者比较，有以下特点：（１）病程长，复治病例多；（２）临床表现不典型，合并症多易误诊，误诊率２１．７％；（３）Ｘ线特征：病灶类型慢性纤维空洞型多；病灶范围广泛多；病灶性质干酪性病变，形成空洞多，支气管播散，胸膜粘连、增厚、钙化多；（４）复治病人痰菌阳性率高２８．８％，是肺结核的重要传染源。cases of pulmonary tuberculosis in eldvly patients were analyzed in this paper. Their clinical characteristics compared with that of the young patients are as follows:①the course is Longer and the cases for retreatment are more;②the clinical findings are atypical with more complications,being apt to be misdiagnosed and the misdiognosing rate is 21.7%;③x-ray reveals that the disease is charaterijed by multiple chronic fibro-Carities showing the charactes of checse pathological changes.dissemnated along bronchi with plcura adhesion,pachynsis and calcitication;④the sputum of the retreated cases showed a positive result of acid-fast bacilli of 28.8%,which is an important source of pulmonary tuberculosis.

关 键 词：老年人 肺结核 临床特点 

分 类 号：R521[医药卫生—内科学]