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本文对我院30余年来资料完整的100例血行播散型肺结核进行回顾对比分析。结果显示,急性血播占87例、亚急性10例、慢性3例。患病年龄0~14岁34例,成人66例。性别差异不明显。合并全身结核者63例,其中结脑39例。成人患病之多与西藏结核的患病率高、涂阳率高、人群自然感染率低之流行上升阶段有关外,且与人群结核免疫力低,对结核之变态反应增高有关。
In this paper, more than 30 years of our hospital data complete analysis of 100 cases of hematogenous disseminated pulmonary tuberculosis were retrospectively analyzed. The results showed that 87 cases of acute blood transfusions, subacute in 10 cases, 3 cases of chronic. 34 patients aged 0-14 years old, 66 cases of adult. Gender differences are not obvious. 63 cases were complicated with systemic tuberculosis, including 39 cases of tuberculous meningitis. The prevalence of adult diseases is high in Tibet, with a high prevalence of smear-positive tuberculosis, high prevalence of smear-positive infection and low prevalence of natural infection in the population. It is also associated with low immunity to tuberculosis and an increased allergic reaction to tuberculosis.