CAJ | 학술논문

目的：探讨精神障碍患者伴发肺结核病的临床特征。方法分析118例精神障碍患者伴发肺结核病的临床资料。结果(1)社会人口学资料：男性111例(占94．1%)。(2)精神科资料：精神分裂症97例(占82．2%),精神分裂症病程≥20年者103例(占87．3%)。(3)结核病资料：病灶范围≥3个肺野103例(占87．3%)；痰抗酸杆菌涂片阳性39例(阳性率33．1%,39/118),痰分枝杆菌培养阳性者34例(阳性率28．8%)；24例患者的药敏试验结果提示耐药(耐药率20．3%,24/118)。(4)其它资料：躯体合并症以糖尿病为主,19例(发生率16．1%)；死亡18例(死亡率15．3%)。结论精神分裂症是最常见的伴发肺结核病的精神障碍,精神障碍伴发肺结核病具有病灶范围大、耐药率高、躯体合并症多、死亡率高等特征。
목적：탐토정신장애환자반발폐결핵병적림상특정。방법분석118례정신장애환자반발폐결핵병적림상자료。결과(1)사회인구학자료：남성111례(점94．1%)。(2)정신과자료：정신분렬증97례(점82．2%),정신분렬증병정≥20년자103례(점87．3%)。(3)결핵병자료：병조범위≥3개폐야103례(점87．3%)；담항산간균도편양성39례(양성솔33．1%,39/118),담분지간균배양양성자34례(양성솔28．8%)；24례환자적약민시험결과제시내약(내약솔20．3%,24/118)。(4)기타자료：구체합병증이당뇨병위주,19례(발생솔16．1%)；사망18례(사망솔15．3%)。결론정신분렬증시최상견적반발폐결핵병적정신장애,정신장애반발폐결핵병구유병조범위대、내약솔고、구체합병증다、사망솔고등특정。
Objective To explore the clinical features of mental disorder patients with tuberculosis. Meth-ods A retrospective study was performed on 118 patients who suffered from mental illness with tuberculosis. Results There were 111 male cases (94. 1%). 97 cases (82. 2%) were schizophrenia patients, and 103 cases (87. 3%) had more than 20 years course of schizophrenia. There were 103 cases whose focal range more than three lung field (87. 3%), 39 cases with positive sputum smear of acid fast bacilli (33. 1%), and 34 cases of positive sputum my-cobacterium cultivation (28. 8%). 24 patients showed certain drug resistance by drug susceptibility test (20. 3%). Diabetes was one of the most common complications (19 cases), and 18 cases of death reported (15. 3%). Conclu-sion In these cases, schizophrenia is one of the most common mental disorders. Mental disorders with tuberculosis have some characteristics:large focal range, high resistance, more complications and high mortality. TB community and psychiatric community should pay high attention to these patients.