医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
14期
90-90
,共1页
慢性阻塞性肺疾病%肺结核%诊断%治疗
慢性阻塞性肺疾病%肺結覈%診斷%治療
만성조새성폐질병%폐결핵%진단%치료
Chronic obstructive pulmonary discase%Pulmonary tuberculosis%Diagnosis%Treatment
目的对慢性阻塞件肺疾病急性加重期(AECOPD)合并肺结核的临床特点进行回顾性分析，探讨其早期诊断及治疗措施。方法收集我院2011年1月~2013年12月呼吸内科及感染科76例AECOPD合并肺结核的住院患者临床资料并进行回顾性分析。结果 AECOPD合并肺结核患者中老年患者多见(73.7豫)，男性多于女性，患者的临床表现不典型，发热，盗汗等结核中毒症状发生率低，临床易漏诊、误诊，晨痰及支气管肺泡灌洗液涂片抗酸染色阳性率高(55.3豫)。经过个体化治疗后，70例患者症状好转出院继续门诊抗结核治疗，6例治疗无效死亡。结论随着COPD患者的逐年增多，COPD合并肺结核的患者也在逐渐增多，因此临床上需引起高度重视。对COPD患者出现原因不明发热及治疗效果不佳者应加强肺结核的筛查，以早期诊断，早治疗，提高治愈率。
目的對慢性阻塞件肺疾病急性加重期(AECOPD)閤併肺結覈的臨床特點進行迴顧性分析，探討其早期診斷及治療措施。方法收集我院2011年1月~2013年12月呼吸內科及感染科76例AECOPD閤併肺結覈的住院患者臨床資料併進行迴顧性分析。結果 AECOPD閤併肺結覈患者中老年患者多見(73.7豫)，男性多于女性，患者的臨床錶現不典型，髮熱，盜汗等結覈中毒癥狀髮生率低，臨床易漏診、誤診，晨痰及支氣管肺泡灌洗液塗片抗痠染色暘性率高(55.3豫)。經過箇體化治療後，70例患者癥狀好轉齣院繼續門診抗結覈治療，6例治療無效死亡。結論隨著COPD患者的逐年增多，COPD閤併肺結覈的患者也在逐漸增多，因此臨床上需引起高度重視。對COPD患者齣現原因不明髮熱及治療效果不佳者應加彊肺結覈的篩查，以早期診斷，早治療，提高治愈率。
목적대만성조새건폐질병급성가중기(AECOPD)합병폐결핵적림상특점진행회고성분석，탐토기조기진단급치료조시。방법수집아원2011년1월~2013년12월호흡내과급감염과76례AECOPD합병폐결핵적주원환자림상자료병진행회고성분석。결과 AECOPD합병폐결핵환자중노년환자다견(73.7예)，남성다우녀성，환자적림상표현불전형，발열，도한등결핵중독증상발생솔저，림상역루진、오진，신담급지기관폐포관세액도편항산염색양성솔고(55.3예)。경과개체화치료후，70례환자증상호전출원계속문진항결핵치료，6례치료무효사망。결론수착COPD환자적축년증다，COPD합병폐결핵적환자야재축점증다，인차림상상수인기고도중시。대COPD환자출현원인불명발열급치료효과불가자응가강폐결핵적사사，이조기진단，조치료，제고치유솔。
Objective To retrospectively analyze the clinical features of acute exacerbation of chronic obstructive pulmonary disease(AECOPD)complicated with pulmonary tuberculosis (PTB),and to explore the early diagnosis and treatment. Methods Col ected 76 cases of AECOPD complicated with PTB hospitalized patients' clinical data were retrospectively analyzed in our hospital of Respiratory Medicine and Infectious Diseases Department, from January 2011 to December 2013.Results AECOPD patients with pulmonary tuberculosis is more common in older patients (55.3%) ,more men than women, the clinical manifestations were atypical, a low incidence of fever, night sweats and other symptoms of tuberculosis poisoning, high omission diagnostic rate and mistake diagnostic rate,morning sputum and bronchoalveolar lavage fluid smear acid-fast staining is high positive rate ( 55.3% ). After individualized treatment, 70 patients symptoms improved were discharged to continue anti-TB treatment, 6 patients ineffective treatment were died.Conclusion With increasing year by year in patients with COPD, COPD patients with pulmonary tuberculosis is gradual y increased, the clinical doctor should pay high at ention to the problems. COPD patients for reasons unknown fever and poor treatment of patients , should be strengthened tuberculosis screening , it is very important to take early stage diagnosis and treatment for those patients,to improve the cure rate.
