35例结核分枝杆菌感染致气管支气管软化症的临床分析  

Clinical analysis and countermeasure of 35 cases with tuberculous tracheobronchomalacia caused by Mycobacterium tuberculosis infection

作　　者：贾丽萍[1] 陈慧冬 黄汉平 詹枝华 

机构地区：[1]黄冈市中心医院呼吸内科,湖北黄冈438000 [2]武汉医疗救治中心,湖北武汉460000

出　　处：《临床肺科杂志》2017年第11期2037-2041,共5页Journal of Clinical Pulmonary Medicine

摘　　要：目的分析总结气管支气管软化症的成因、临床特点,寻求合理治疗方法。方法对我们收治的35例结核性气管支气管软化症患者临床特点、治疗方法、预后等回顾性分析。结果软化部位以左右主支气管多见(分别占25.7%、17.1%);结核化疗方案及镜下介入治疗对于气管支气管结核临床疗效满意,但对较严重的气管支气管软化症患者来说,大多需要无创呼吸辅助通气及支架置入等多种治疗手段。结论气管支气管结核可引起气道不同程度的软化,支气管镜检查是确诊最佳手段,原发病的治疗是关键及早干预治疗直接影响预后。Objective To summarize the causes and clinical features of tracheobronchomalacia （ TBM） and to seek rational treatment. Methods The clinical features, treatment and final outcomes of 35 cases of tuberculous tracheobronchomalacia were retrospectively reviewed. Results The left and right main bronchus are the common sof-tening sites （ respectively 25. 7%, 17. 1%） . The clinical efficacy of tracheobronchial tuberculosis was satisfactory by tuberculosis chemotherapy and interventional treatment. But the TBM patients needed a variety of treatment, such as noninvasive ventilation and stent placement and other treatment. Conclusion The tracheobronchial tuberculosis can result in airway softening with varying degrees. The bronchoscopy is the best mean for the diagnosis of TBM. The treatment of primary disease is the key and early intervention directly affect the prognosis.

关 键 词：结核 气管支气管软化症 支气管镜 

分 类 号：R52[医药卫生—内科学] R562[医药卫生—临床医学]