CAJ | 학술논문

　　目的：了解老年肺结核的临床特征。方法：对本所2009年1月-2012年12月收治的单纯活动性肺结核患者（无结核性胸膜炎等其他结核病）进行回顾性分析。结果：临床症状以咳嗽、咳痰多见，占78.6%（173/220）；70~79岁101例，略高于60~69岁81例；病灶广泛，分布1~2个肺野占60.9%（134/220），3个及以上肺野86例，占39.1%（86/220）；痰菌阳性率高31.4%（69/220），合并症多；痰菌转阴率79.7%（55/69），总有效率89.5%（191/220）；药物不良反应多，以肝损害为主，占9.5%（21/220），其次为白细胞减少症3.2%（7/220）、皮肤过敏反应1.8%（4/220）。结论：220例老年肺结核患者症状以咳嗽、咳痰为主，结核中毒症状不典型；病灶以多肺区为主；合并其他疾病几率高，以肺部感染为首；老年肺结核的治疗应个体化。
　　목적：료해노년폐결핵적림상특정。방법：대본소2009년1월-2012년12월수치적단순활동성폐결핵환자（무결핵성흉막염등기타결핵병）진행회고성분석。결과：림상증상이해수、해담다견，점78.6%（173/220）；70~79세101례，략고우60~69세81례；병조엄범，분포1~2개폐야점60.9%（134/220），3개급이상폐야86례，점39.1%（86/220）；담균양성솔고31.4%（69/220），합병증다；담균전음솔79.7%（55/69），총유효솔89.5%（191/220）；약물불량반응다，이간손해위주，점9.5%（21/220），기차위백세포감소증3.2%（7/220）、피부과민반응1.8%（4/220）。결론：220례노년폐결핵환자증상이해수、해담위주，결핵중독증상불전형；병조이다폐구위주；합병기타질병궤솔고，이폐부감염위수；노년폐결핵적치료응개체화。
Objective:To investigate the clinical characteristics of senile pulmonary tuberculosis.Method:In 2009 January-2012 December were simple in patients with active pulmonary tuberculosis(no tuberculous pleurisy and other tuberculosis),retrospective analysis. Result:Clinical symptoms were cough,sputum accounted for 78.6%(173/220).People from 70 to 79 years old were 101 cases which is slightly higher than the 60 to 69 years old in 81 cases.Wide distribution of lesions,1-2 lung accounted for 60.9%(134/220),More than 3 and lung field in 86 cases,accounting for 39.1%(86/220). High positive rate of sputum was 31.4%(69/220).Most of them were multiple complications.The sputum negative conversion rate was 79.7%(55/69), with the total efficiency of 89.5%(191/220);Adverse drug reactions which mainly with liver damage were accounted for 9.5%(21/220).Followed by leukopenia in 3.2%(7/220)and allergic skin reaction was 1.8%(4/220).Conclusion:220 cases of pulmonary tuberculosis patients with symptoms of cough,expectoration,clinical symptoms are not typical;lesions in lung zone;associated with other diseases with high probability,led by pulmonary infection;treatment of senile pulmonary tuberculosis should be individualized.