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对25例麻风病人研究了呼吸系统的发病情况,而并不重视其年龄、性别、病期长短和治疗情况。鼻出血、咳嗽、咯痰和鼻阻的发生率分别为64％、60％、48％和48％。有60％的病人为吸烟者。有2例LL病人X光照片显示在肺的上、下带有结节样阴影。鼻部有病率为88％,以LL及BL病人为多。鼻部4个部位塗片查麻风杆菌,70.5％为阳性,LL与BL有差异。在一般麻醉下作前后鼻孔及喉的镜检,并对会厌、假声带、右上和下支气管作活检。主要在LL及BL型病人中,其咽部发病率占33％,声带是最普通有损害的部位。支气管塗片有3例LL(25％)为麻风杆菌阳性。2例会厌和1例声带活检显示泡沫细胞和结核样肉芽肿。麻风肉芽肿则未曾见于任何支气管活检。1例右上和下部支气管活检中发现抗酸杆菌,但其咽部活检中则无抗酸杆菌。有2例LL(8％)人病伴存肺结核,但在临床、X光、痰液、支气管塗片抗酸杆菌阳性、以及支气管组织病理学等方面,则均未发现两病之间有任何的相互关系。
The incidence of respiratory system was studied in 25 cases of leprosy without regard to their age, sex, duration of disease and treatment. The incidence of epistaxis, cough, expectoration and nasal resistance were 64%, 60%, 48% and 48%, respectively. 60% of patients are smokers. There are 2 cases of LL patients X-ray showed the upper and lower lung with nodular shadows. The prevalence of the nose was 88%, with LL and BL patients as much. 4 parts of the nose smear smear Leprosy, 70.5% were positive, LL and BL are different. Under general anesthesia for nostrils and laryngeal microscopy, and the epiglottis, false vocal cord, upper right and lower bronchial biopsy. Mainly in LL and BL patients, the incidence of pharyngeal 33%, vocal cord is the most common site of damage. Bronchial smear 3 LL (25%) were positive for Leprosy. Two cases of epiglottis and one vocal cord biopsy showed foam cells and tubercular granulomas. Leprosy is not found on any bronchial biopsy. One patient had acid-fast bacilli in the upper right and lower bronchial biopsies but no acid-fast bacilli in the throat biopsy. There were 2 cases of LL (8%) human disease associated with pulmonary tuberculosis, but no clinical, X-ray, sputum, bronchial smear acid-fast bacilli positive, and bronchial histopathology were found between the two diseases The relationship between.