流浪精神病人合并肺结核X线影像学表现及防治策略分析  

Analysis of X-ray Imaging Manifestations and Prevention and Treatment Strategy of Vagrant Mental Patients with Pulmonary Tuberculosis

作　　者：刘汉群 LIU Han-qun(Guangdong Yingde chronic disease prevention and treatment hospital,Yingde,Guangdong 513000)

机构地区：[1]广东省英德市慢性病防治医院,广东英德513000

出　　处：《智慧健康》2021年第13期67-69,共3页Smart Healthcare

摘　　要：目的观察流浪精神病人合并肺结核X线影像学表现及防治策略分析。方法将在我地区福利院于(2018年6月至2020年6月时期)收治救治的流浪精神病人合并肺结核患者总计36例设为观察组,并选取同期于医院接受治疗的常规肺结核患者36例,设为对照组。比较两组临床症状表现差异,分析观察组X线影像学表现,并制定相应的防治策略。结果两组患者均以咳嗽咳痰为主要的临床表现症状,而观察组患者存在19例(52.78%)无症状表现,而对照组患者则有4例(11.11%)患者为无症状变现者,差异(P<0.05)有意义。察组患者X线影像学表现中,其中结核部位16.67%为左上肺,27.78%为右上肺,38.89%为双上肺,5.56%为中下肺,11.11%为广泛分布病灶。肺结核分型情况,2.78%为Ⅰ型肺结核,表现为结节阴影;2.78%为Ⅱ型肺结核,显示均匀分布大小、密度一致的粟粒样结节阴影;88.89%为Ⅲ型肺结核,显示多为片絮状或云雾状影,散在分布于锁骨上、下区,密度不均,边缘模糊;5.56%为Ⅳ型肺结核,表现为胸膜增厚、胸腔积液。结论流浪精神病人合并肺结核患者中,临床表现无症状者或症状不典型者居多,但是具有明显的X线下的表现。因此,通过广泛的筛查并采取针对性的医院感染防控措施,规范化抗痨治疗,可对流浪精神病人合并肺结核的防控治疗做出贡献。Objective To observe the X-ray imaging features of vagrant mental patients complicated with pulmonary tuberculosis and analyze the prevention and treatment strategies.Methods A total of 36 cases of vagrant mental patients with pulmonary tuberculosis who were treated in the welfare home of our region from June 2018 to June 2020 were selected as the observation group,and 36 cases of routine pulmonary tuberculosis patients treated in the hospital during the same period were selected as the control group.The clinical manifestations of the two groups were compared.Results Cough and expectoration were the main clinical manifestations of the two groups,while 19 cases(52.78%)in the observation group were asymptomatic,while 4 cases(11.11%)in the control group were asymptomatic cashiers,the difference was significant(P<0.05).Among the X-ray imaging manifestations of the patients in the observation group,16.67%were left upper lung,27.78%were right upper lung,38.89%were double upper lung,5.56%were middle and lower lung,and 11.11%were widely distributed lesions.According to the classification of pulmonary tuberculosis,2.78%were typeⅠtuberculosis with nodular shadow;2.78%were typeⅡtuberculosis,showing miliary nodular shadow with uniform distribution size and density;88.89%were typeⅢtuberculosis,which showed patchy or cloudy shadows,scattered in supraclavicular and infraclavicular areas,with uneven density and fuzzy edge;5.56%were typeⅣtuberculosis,which showed pleural thickening,pleural thickening,and other signs Pleural effusion.Conclusion Among the vagrant mental patients with pulmonary tuberculosis,most of them have asymptomatic clinical manifestations or atypical symptoms,but they have obvious X-ray manifestations.Therefore,through extensive screening and targeted hospital infection prevention and control measures,standardized anti tuberculosis treatment,can contribute to the prevention and treatment of vagrant mental patients with pulmonary tuberculosis.

关 键 词：流浪精神病人 合并肺结核 X线影像学表现 防治策略 

分 类 号：R749[医药卫生—神经病学与精神病学] R521[医药卫生—临床医学]