344例支气管结核患者的临床特征分析  

Clinical characteristics of 344 cases of bronchial tuberculosis

作　　者：陈华[1] 许光辉[1] 谢永平 CHEN Hua;XU Guang-hui;XIE Yong-ping(Inpatient Department of Jiangmen City Tuberculosis Control and Prevention Institute,Guangdong Province,Jiangmen 529000,China)

机构地区：[1]广东省江门市结核病防治所住院部

出　　处：《结核病与肺部健康杂志》2019年第4期285-288,共4页Journal of Tuberculosis and Lung Health

摘　　要：目的总结支气管结核的临床特征,提高对支气管结核的认识。方法搜集广东省江门市结核病防治所2011年11月至2018年12月收住入院治疗的经支气管镜检查确诊的344例支气管结核患者的资料,从人口学特征、症状、胸部CT表现及首次支气管镜检查镜下特点等方面进行总结分析。结果 344例支气管结核患者的临床特点:(1)年龄分布,20~29岁年龄段的发病患者最多(25.58%,88/344)。(2)临床表现主要为咳嗽咳痰(87.50%,301/344)。(3)各种临床表现中持续时间>3个月的患者最多(40.99%,141/344)。(4)病变部位多分布于右上叶支气管(33.14%,114/344)。(5)胸部CT表现中出现最多者为空洞(36.63%,126/344)。(6)支气管镜镜下分型中最常见者为炎症浸润型(86.92%,299/344)。结论支气管结核发病年轻化,症状持续时间久,且没有特异性临床表现,最常出现的部位为右上叶支气管,胸部CT表现中多见空洞存在,支气管镜下最常见者为炎症浸润型。Objective To summarize the clinical features of bronchial tuberculosis and improve the understanding of bronchial tuberculosis.Methods Data of 344 patients with bronchial tuberculosis diagnosed after bronchoscopy at the Jiangmen City Tuberculosis Control and Prevention Center in Guangdong Province from Nov.2011 to Dec.2018 were collected.Demographic characteristics,symptoms,chest CT findings and characteristics of the first bronchoscopy result were summarized.Results Clinical features of 344 patients with bronchial tuberculosis were:(1)age distribution,the highest proportion of patients were in the 20-29 age group(25.58%,88/344).(2)The clinical symptoms were mainly cough and expectoration(87.50%,301/344).(3)Most patients suffered with symptom duration>3 months(40.99%,141/344).(4)Lesions were mostly located in the right upper lobe(33.14%,114/344)of lungs.(5)Most common findings of chest CT were lung cavities(36.63%,126/344).(6)The most common type of bronchoscopy classification result was inflammatory infiltration(86.92%,299/344).Conclusion The bronchial tuberculosis happened more in young people,symptoms last for a long time,and there was no specific clinical symptoms.The most common lesions were in the right upper lobe bronchus.Chest CT usually found cavities.The most common bronchoscopy result was inflammatory infiltration type of tuberculosis.

关 键 词：结核 支气管疾病 体征和症状 诊断技术和方法 疾病特征 数据说明 统计 

分 类 号：R73[医药卫生—肿瘤]