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本文对60岁以上老年人的肺结核、原发性肺癌、慢性支气管炎、慢性间质性肺炎和慢性肺气肿进行了分析和探讨。肺结核:近10年来青年人肺结核发病情况显著减少,老年人则有增加趋势。统计1978~1979年60岁以上因结核出院者共378例,其中初治患者44.7%。X线分类属于Ⅰ型63.6%,Ⅲ型26.0%,而且病变范围较广,有空洞者61.5%,结核菌涂片阳性48.7%、培养阳性53.7%。耐1种抗结核药物44.2%、耐2种抗结核药物22.7%、耐3种抗鳍核药物8.1%、耐4种以上8.7%。老年肺结核患者以合并糖尿病最多,依次为慢性肺气肿,肝功能障碍和恶性肿瘤。原发性肺癌:1975~1979年患原发性肺癌入院
This article analyzes and discusses tuberculosis, primary lung cancer, chronic bronchitis, chronic interstitial pneumonia and chronic emphysema in the elderly over 60 years old. Tuberculosis: The incidence of tuberculosis in young people has been significantly reduced in the past 10 years, while in the elderly there is an increasing trend. Statistics 1978 to 1979 over the age of 60 patients discharged from a total of 378 cases of tuberculosis, of which 44.7% of newly diagnosed patients. X-ray classification belongs to type Ⅰ 63.6%, type Ⅲ 26.0%, and the lesion range is wider, with 61.5% of the cavity, TB smear positive 48.7%, culture positive 53.7%. 44.2% were resistant to one anti-tuberculosis drug, 22.7% were resistant to two anti-tuberculosis drugs, 8.1% were resistant to three anti-fin nuclear drugs and 8.7% were resistant to more than four drugs. Elderly patients with tuberculosis combined with diabetes, followed by chronic emphysema, liver dysfunction and malignant tumors. Primary Lung Cancer: Primary lung cancer admitted to hospital from 1975 to 1979