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目的:观察老年慢性阻塞性肺疾病合并肺结核感染的临床诊治特点及治疗效果。方法:选择2011年12月-2013年5月在我院进行治疗的老年慢性阻塞性肺病合并肺结核患者89例,对其临床资料进行回顾性分析,总结该病临床诊断特点。结果:通过回顾性分析纳入本次研究所有患者的临床资料后,男性患者比例明显高于女性患者,且多伴有吸烟史,或合并肺部感染等;所有患者痰标本送检实验室,经培养后检测结果显示较高的结核杆菌阳性率;患者经影像学检查可知出现肺气肿表现,约80.90%(72/89),胸部X片并未发现典型肺结核影像学改变。结论:老年慢性阻塞性肺结核疾病患者,合并肺结核后,可显现出病情复杂多变的临床特点,临床表现多无特异性表现,误诊率较高,医务人员应在临床诊断及治疗时注意诊断与鉴别,降低误诊率。
Objective: To observe the clinical diagnosis and treatment of senile chronic obstructive pulmonary disease complicated with pulmonary tuberculosis infection and its therapeutic effect. Methods: From December 2011 to May 2013, 89 elderly patients with chronic obstructive pulmonary disease and pulmonary tuberculosis who were treated in our hospital were retrospectively analyzed. The clinical features of the disease were summarized. Results: The retrospective analysis of all patients included in this study after the clinical data, the male patients was significantly higher than the proportion of female patients, and more with smoking history, or complicated with lung infection; sputum specimens of all patients submitted to the laboratory, The test results showed a higher positive rate of Mycobacterium tuberculosis after culture. The patients showed emphysema by imaging examination, about 80.90% (72/89), chest X-ray did not find the typical pulmonary tuberculosis imaging changes. CONCLUSIONS: Elderly patients with chronic obstructive pulmonary disease and pulmonary tuberculosis may show complicated and changeable clinical features. Clinical manifestations are non-specific and have a high rate of misdiagnosis. Medical staff should pay attention to diagnosis and treatment during clinical diagnosis and treatment Identification, reduce the rate of misdiagnosis.