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近年来我国老年60岁以上肺结核患者有渐增趋势.以血行播散型和慢性纤维空洞型多见.本文将我院1983年～1993年住院老年血行播散型肺结核65例进行临床分析、并在其余住院病例中按序随机抽样选出65例中、青年血行播散型肺结核病例作为对照组,探讨老年血行播散型肺结核的临床特点.1 临床资料1.1 年龄与性别老年组65例,其中60～64岁38例.65岁以上27例.年龄最大78岁;男性42例,女23例.男:女为1.82:1;其中城市17例,农村48例.中、青年组65例.其中16～35岁42例.36～59岁23例;男38例、女27例;城市21例,农村44例.1.2 发病老年组发病较急者16例(24.6%).发病缓慢者49例(75.3%);中青年组发病较急者34例(52.3%).发病缓慢者31例(47.7%).老年组与中、青年组发病有显著性差异(P<0.05).
In recent years, the elderly in our country have an increasing trend of tuberculosis patients over the age of 60. Hematogenous disseminated and chronic fibrous cavities more common.This article from 1983 to 1993 hospitalized elderly hematogenous disseminated pulmonary tuberculosis clinical analysis of 65 cases and 65 cases of young and middle-aged patients with hematogenous disseminated pulmonary tuberculosis were selected randomly from the rest of the inpatient cases as the control group to explore the clinical features of elderly hematogenous disseminated pulmonary tuberculosis.1 Clinical data1.1 Age and gender The elderly group of 65 cases, of which 60 to 64 years old in 38 cases.At the age of 65, 27 cases.The oldest is 78 years old; male 42 cases, female 23 cases.Male: female 1.82: 1, of which 17 cases in urban and rural areas in 48 cases.Among them, young group of 65 cases. Among them, 42 cases were from 16 to 35 years old, 23 cases from 36 to 59 years old, 38 were males and 27 were females, 21 were in urban areas and 44 were in rural areas.22 16 cases (24.6% (75.3%), 34 cases (52.3%) in the middle-aged and younger group, 31 cases (47.7%) in the slow-onset group, and there was significant difference between the elderly group and the middle and young group (P <0.05).