论文部分内容阅读
目的分析支气管结核的临床特征、诊治及护理,积累临床经验。方法对2006—2014年收治的支气管结核88例临床资料做回顾性分析。结果 88例均通过纤维支气管镜检查确诊,临床主要以刺激性咳嗽(75.0%)、咳痰(72.7%)为主,有68.0%的病人合并肺结核。影像学检查有65.9%肺不张,63.6%肺门增大和59.1%肺斑片状浸润阴影,81.8%的病灶位于上叶支气管,22.7%痰菌培养阳性。确诊后均进行抗结核治疗,同时配合相应的护理。有79.5%的病人治愈,无发生并发症。结论纤支镜检查是确诊气管支气管结核的重要依据,而早期确诊是疗效的关键。
Objective To analyze the clinical features, diagnosis, treatment and nursing of bronchial tuberculosis and to accumulate clinical experiences. Methods The clinical data of 88 cases of bronchial tuberculosis admitted from 2006 to 2014 were analyzed retrospectively. Results 88 cases were diagnosed by fiberoptic bronchoscopy. The main clinical manifestations were irritating cough (75.0%) and expectoration (72.7%), and 68.0% of patients had pulmonary tuberculosis. There were 65.9% atelectasis, 63.6% hilar enlargement and 59.1% pulmonary plaque infiltration shadow in imaging examination. 81.8% of the lesions were located in the upper lobes and 22.7% sputum cultures were positive. After diagnosis of anti-TB treatment, at the same time with the appropriate care. 79.5% of patients were cured without complications. Conclusion Fiberoptic bronchoscopy is an important basis for the diagnosis of tracheobronchial tuberculosis, and early diagnosis is the key to curative effect.