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目的分析老年肺结核合并肺源性心脏病的临床特征,并在此基础上探讨老年肺结核合并肺源性心脏病的临床治疗方法。方法采取方便抽样法抽取2011年1月-2016年3月收治的老年肺结核合并肺源性心脏病患者100例作为观察组,采取同样的方式抽取同期非老年肺结核合并肺源性心脏病患者100例作为对照组。对比分析2组患者的临床特征,在此基础上对2组患者实施治疗,观察比较2组患者的临床疗效和病死率。结果观察组患者的肺性脑病、心力衰竭、真菌感染、低钠、低氯、低钾、消化道出血、肾功能不全发生率均显著高于对照组(P<0.05)。观察组治疗总有效率低于对照组,病死率高于对照组,差异均有统计学意义(P<0.05)。结论老年肺结核合并肺源性心脏病患者具有肺性脑病、心力衰竭、真菌感染、低钠、低氯、低钾、消化道出血、肾功能不全发病率较高的临床合并症,其主要的治疗方式为早期抗结核治疗联合抗感染、强心、利尿、扩血管、解痉、平喘、纠正呼吸衰竭等综合治疗,但相比非老年患者而言,老年肺结核合并肺源性心脏病患者的预后效果较差。
Objective To analyze the clinical features of senile pulmonary tuberculosis complicated with pulmonary heart disease and to explore the clinical treatment of senile pulmonary tuberculosis complicated with pulmonary heart disease. Methods A total of 100 elderly patients with pulmonary heart disease and pulmonary heart disease who were admitted to our hospital from January 2011 to March 2016 were selected as the observation group by convenient sampling method. 100 non-elderly patients with pulmonary heart disease and pulmonary heart disease were enrolled in the same way. As a control group. The clinical characteristics of two groups of patients were compared and analyzed. On the basis of this study, the two groups of patients were treated, and the clinical efficacy and mortality of the two groups were observed and compared. Results The incidence of pulmonary encephalopathy, heart failure, fungal infection, hyponatremia, hypochloride, hypokalemia, gastrointestinal bleeding and renal insufficiency in the observation group were significantly higher than those in the control group (P <0.05). The total effective rate of observation group was lower than that of control group, the mortality rate was higher than that of control group, the differences were statistically significant (P <0.05). Conclusions Elderly patients with pulmonary tuberculosis and pulmonary heart disease have the main clinical treatment of pulmonary encephalopathy, heart failure, fungal infection, clinical complications of hyponatremia, hypochloride, hypokalemia, gastrointestinal bleeding and renal insufficiency. Mode of early anti-TB treatment combined anti-infective, cardiac, diuretic, vasodilator, antispasmodic, asthma, respiratory failure and other comprehensive treatment, but compared to non-elderly patients, elderly patients with pulmonary heart disease pulmonary heart disease Poor prognosis.