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目的探讨初治空洞性肺结核的临床特点及短程化疗方案效果。方法回顾性分析临床确诊的49例空洞性肺结核患者临床资料。结果 49例患者中咳嗽45例,发热43例,乏力、盗汗27例,痰涂片阳性36例。X线胸片表现为单发、薄壁、干酪性空洞43例,病变累及2个以上肺野34例。6个月疗程结束后,病程小于30d者空洞治疗有效率为75.6%,病程大于30d者空洞治疗有效率为42.1%。结论初治空洞性肺结核多有典型的结核中毒症状,X线胸片以单发、薄壁、干酪性空洞为主,病变累及多个肺野,早期治疗有利于空洞的吸收。
Objective To investigate the clinical features of initially treated tuberculosis and the effect of short-course chemotherapy. Methods The clinical data of 49 clinically confirmed cases of empty tuberculosis were analyzed retrospectively. Results 49 cases of cough in 45 cases, fever in 43 cases, fatigue, night sweats in 27 cases, sputum smear positive in 36 cases. X-ray showed single, thin-walled, cheese cavity 43 cases of lesions involving more than 2 lung field in 34 cases. After 6 months, the effective rate of emptying treatment was 75.6% when the duration was less than 30d and 42.1% when the duration was more than 30d. Conclusions The newly diagnosed pneumoconiosis has typical tuberculosis poisoning symptoms. X-ray is mainly single, thin-walled and cheese cavities. The lesions involve multiple lung fields. Early treatment is beneficial to the absorption of the cavity.