痰罗氏培养结核菌阳性、血T-spotTB阴性常见原因分析  

Common cause analysis of negative blood T-spotTB in patients with positive tubercle bacillus by Roche culture with phlegm

作　　者：武栋 

机构地区：[1]张家口市传染病医院结核科,河北张家口075000

出　　处：《长春中医药大学学报》2016年第3期616-617,共2页Journal of Changchun University of Chinese Medicine

基　　金：河北省科学技术成果项目(20142272)

摘　　要：目的探讨肺结核罗氏培养结核菌阳性患者而血T-spotTB阴性的原因。方法对2013年1月1日—2014年1月1日首都医科大学附属北京胸科医院收治的1 800例且病历资料完整的肺结核患者进行回顾分析,观察痰菌阳性(罗氏培养阳性),T-spotTB阴性患者的发生原因。结果 1 800例中,发生肺结核罗氏培养结核菌阳性患者而血T-spotTB阴性患者40例。结论肺结核痰菌阳性患者出现血T-spotTB阴性的常见原因与合并低蛋白血症、贫血、结缔组织疾病、癌症、毒性乙型肝炎等因素相关。Objective To explore the cause of negative blood T-spotTB in patients with positive tubercle bacillus by Roche culture with phlegm. Methods The 1800 patients with pulmonary tuberculosis who were admitted in Beijing Chest Hospital Affiliated to Capital Medical University from January 01,2013 to January 01,2014 with complete medical records were analyzed to find out the reason for T-spotTB being negative while tubercle bacillus by Roche culture being positive. Results Within the 1800 patients,there were 40 patients who had negative blood T-spotTB and positive tubercle bacillus by Roche culture with phlegm. Conclusion The common cause of negative blood T-spotTB in patients with positive tubercle bacillus by Roche culture with phlegm is associated with hypoproteinemia,anemia,connective tissue disease,cancer,and toxic hepatitis B,and etc.

关 键 词：肺结核 罗氏培养 T-spotTB 

分 类 号：R256.17[医药卫生—中医内科学]