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目的探讨结核病孕产妇患者的临床特点及治疗对策。方法选取2016年2月~2016年11月本科室门诊收治的58例结核病孕产妇患者(均单胎妊娠),其中妊娠期50例、产褥期8例,根据临床患者的具体特点给予有效治疗对策,并统计分析其效果。结果经专科治疗后,8例产褥期结核病孕产妇患者中有7例明显好转,1例因并发重症肺炎且多脏器功能严重衰竭而治疗无效。50例妊娠期患者中,有8例为妊娠早期,4例终止妊娠,4例继续妊娠;42例为妊娠中晚期,其中8例足月后自然分娩、11例足月后剖宫产分娩、6例早产、17例继续妊娠。共计33例新生儿(包括外院生产的8例),临床常规体格检查显示均正常、无畸型儿,其中3例判定为低体质量儿(<2.5 kg),经结核分枝杆菌检验均呈阴性。结论针对结核病孕产妇患者所具有的各种临床特点,加强临床有效治疗对策,进而促进治疗效果的趋好改善。
Objective To investigate the clinical features and treatment strategies of maternal tuberculosis patients. Methods Fifty-eight cases of maternal tuberculosis (singleton pregnancy) were enrolled in the outpatient clinic from February 2016 to November 2016. Among them, 50 were pregnant and 8 were puerperium. According to the specific characteristics of clinical patients, effective treatment was given, And statistical analysis of its effect. Results After specialist treatment, 7 of 8 maternal puerperium tuberculosis patients were markedly improved, and 1 patient was ineffective because of severe pneumonia complicated with multiple organ failure. Among the 50 cases of pregnancy, 8 cases were in early pregnancy, 4 cases terminated pregnancy and 4 cases continued pregnancy. Among them, 42 cases were in middle and late pregnancy, 8 cases were born after full-term delivery and 11 cases were delivered after full-term cesarean section. 6 cases were premature, 17 cases continued pregnancy. A total of 33 newborns (including 8 in the outpatient setting) were routinely screened for physical examination without any abnormalities, of which 3 were judged as having low birth weight (<2.5 kg) and negative for M. tuberculosis test . Conclusions Aiming at the various clinical features of maternal tuberculosis patients, it is necessary to strengthen clinical effective treatment strategies and further improve the therapeutic effect.