非结核分枝杆菌肺病52例临床特点分析  

Clinical characteristics Analysis of 52 patients with non-tuberculous mycobacteria caused lung disease

作　　者：薛卉[1,2] 秦超[1,2] 崔建立[1,2] 朱晓颖[1,2] 

机构地区：[1]天津市海河医院结核科,天津300350 [2]国家中医药管理局中医药防治传染病重点实验室

出　　处：《中国城乡企业卫生》2016年第8期99-100,共2页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的了解非结核分枝杆菌(NTM)肺病的临床特征以提高诊疗水平。方法收集天津市海河医院2014年1月-2016年2月收治的NTM肺病患者52例,全部符合NTM肺病的诊断标准。对确诊的NTM肺病的临床资料进行回顾分析。结果发病年龄以中老年为主占75.0%,病变范围广、多累及肺中叶(82.7%)及舌段(76.9%),多见支气管扩张(51.9%)和薄壁空洞(40.4%)。主要症状为咳嗽、咳痰,可伴发热、痰中带血等。结论 NTM肺病的临床特征无特异性,病程长,常规抗痨疗效差,应尽早鉴别确诊。Objective To understand the clinical features of non-tuberculosis mycobacterium （NTM） caused lung disese to improve the level of diagnosis and treatment. Methods 52 cases identified NTM lung disease were collected from January 2014 to February 2016 in Tianjin Haihe Hospital. Their clinical data were analyzed retrospectively. Results Most cases （75.0%） were elderly onset. Wide range of lesions, involving the middle lobe of the right lung was found in 82.7% the lingual of the left lung in 76.9%cases, multiple see bronchial dilation in 51.9% and thin walled cavity in 40.4%, The main symptoms were cough, sputum, and could be accompanied by fever, bloody sputum, etc. Conclusion The clinical symptom of NTM lung disease was less characterized except a quite long course. Routine anti-tuberculosis drugs were inferior. Differential diagnosis should be completed as early as possible.

关 键 词：分支杆菌 非结核分支杆菌病 临床 

分 类 号：R563.9[医药卫生—呼吸系统]