肺结核病伴喉结核20例  

Analysis of 20 Cases of Pulmonary Tuberculosis Accompanied by Laryneal Tuberculosis

作　　者：饶会林[1] 

机构地区：[1]安徽省肺科医院,230022

出　　处：《临床肺科杂志》2003年第4期316-317,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的　提高对肺结核病伴喉结核的诊治水平。方法　回顾分析 2 0例肺结核病伴喉结核患者临床及诊治特点。结果　 2 0例均为初治肺结核病 ,其中血行播散型肺结核病 7例 ,继发性肺结核病 13例 ;痰菌阳性 13例 ;PPD强阳性 10例 ;声嘶 16例 ,咳嗽咳痰 13例 ,痰痛性吞咽困难 6例 ,发热 5例 ,胸闷气喘 2例及咯血 1例。伴明显结核中毒症状 14例。 2 0例正规抗结核治疗后均痊愈。结论　肺结核病伴喉结核预后佳。早期、规律及联合抗痨是关键。Objective To improve the awareness of pulmonary tuberculosis accompanied by laryneal tuberculosis.Methods 20 cases of pulmonary tuberculosis accompanied by laryneal tuberculosis were reviewed.Results All the patients showed initial tuberculosis,including 7 with circulate disseminate tuberculosis,13 with secondary tuberculosis,13 with smear positive,10 with purified protein derivative positive,16 with a hoarse voice,13 with cough and expiration,6 with sore and difficult swallow,5 with a high fever,2 with suffocative chest and asthma,1 with spit blood.Fourteen cases had tuberculosis toxaemia.After formal antituberculosis chemotherapy,chest x-ray could be absorbed basically and clinic symptoms disappeared.Conclusion All the patients remained healthy after they were cured.An early?regular and combined antituberculosis methodis the key for the treatment.

关 键 词：肺结核 喉结核 治疗 预后 联合抗痨 

分 类 号：R521[医药卫生—内科学] R529.8[医药卫生—临床医学]