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目的分析老年结核性胸膜炎的临床特点。方法南阳市结核病防治所2009年3月至2011年3月共收治老年结核性胸膜炎患者54例,青年结核性胸膜炎52例,就两组临床特点、实验室检查资料进行对比分析。结果老年患者以气急、胸痛症状多见,青年患者发热明显。老年组血性胸腔积液、合并症和不良反应例数明显高于青年组(P<0.05),治疗后胸腔积液吸收时间亦长于青年组(P<0.05)。结论老年结核性胸膜炎临床表现多样,因伴有老年常见合并症易漏诊、误诊。掌握老年患者的临床特点,综合分析,早期诊断,治疗上除常规抗痨外,应加强全身支持疗法,采取多种措施,提高治愈率。
Objective To analyze the clinical features of senile tuberculous pleurisy. Methods From March 2009 to March 2011, 54 cases of tuberculous pleurisy in the elderly and 52 cases of juvenile tuberculous pleurisy were enrolled in the Nanyang Tuberculosis Prevention and Treatment Center. The clinical characteristics and laboratory examination data of the two groups were compared and analyzed. Results Elderly patients with shortness of breath, chest pain symptoms more common, young patients with significant fever. The number of bloody pleural effusion, complications and adverse reactions in the elderly group was significantly higher than that in the young group (P <0.05), and the absorption time of pleural effusion was also longer in the elderly group than in the youth group (P <0.05). Conclusions The clinical manifestations of senile tuberculous pleurisy are diverse. Misdiagnosis and misdiagnosis are common in common comorbid elderly patients. To master the clinical features of elderly patients, comprehensive analysis, early diagnosis and treatment, in addition to conventional anti-tuberculosis, systemic supportive therapy should be strengthened to take various measures to improve the cure rate.