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目的探讨结核性干酪肺炎的诊断与治疗。方法对安阳市结核病防治所住院结核性干酪肺炎患者的辅助检查、诊断、个体化治疗进行分析。结果结核性干酪肺炎患者发病急,高热症状较为突出,血白细胞增高较为常见,痰菌阴性率高,但PPD阳性率偏低,抗结核治疗强化期延长为3个月为宜,并加强抗炎治疗,复治患者加用免疫增强剂,疗效取得较为满意。结论结核性干酪肺炎与肺炎等肺部感染需相鉴别,可减少误诊。延长抗结核治疗方案强化期,加强抗炎治疗,合理使用免疫增强剂,治疗效果好。
Objective To investigate the diagnosis and treatment of tuberculosis pneumonia. Methods Auxiliary examination, diagnosis and individualized treatment of tuberculosis cases of cheese pneumonia in Anyang Tuberculosis Prevention and Control Hospital were analyzed. Results Tuberculous casein pneumonia patients with acute and high fever symptoms are more prominent, white blood cell leukemia is more common, sputum negative rate is high, but PPD positive rate is low, anti-TB treatment of extended period of 3 months is appropriate, and strengthen anti-inflammatory Treatment, re-treatment of patients plus immune enhancer, the effect was more satisfied. Conclusions The identification of tuberculosis pneumonia and pneumonia and other lung infections need to be differentiated to reduce the misdiagnosis. To extend the anti-TB treatment program to strengthen the anti-inflammatory treatment, strengthen the rational use of immune enhancers, the treatment effect is good.