CAJ | 학술논문

目的通过进行菌阴菌阳肺结核临床特征对比及对患者发现方式的分析,探讨如何更好地早期发现肺结核患者.方法收集自2011年至2013年以来在门诊确诊并治疗的肺结核患者相关资料,依据细菌学检查结果分为菌阴组和菌阳组,分析两组间的相关特征.结果菌阴肺结核病例的临床症状,如咳嗽、咳痰和发热等症状显著低于菌阳患者(P＜0.05).胸部X线空洞特征两组比较差异有统计学意义(P＜0.01).患者的发现方式主要是病人到非结核医疗机构就诊和健康检查.结论菌阴肺结核临床症状较轻或无症状,病灶特异性不强,易造成误诊和漏诊.早期发现有赖于非结核医疗机构的重视及时报病转诊和增强人们每年进行健康检查的意识.
목적 통과진행균음균양폐결핵림상특정대비급대환자발현방식적분석,탐토여하경호지조기발현폐결핵환자.방법 수집자2011년지2013년이래재문진학진병치료적폐결핵환자상관자료,의거세균학검사결과분위균음조화균양조,분석량조간적상관특정.결과 균음폐결핵병례적림상증상,여해수、해담화발열등증상현저저우균양환자(P＜0.05).흉부X선공동특정량조비교차이유통계학의의(P＜0.01).환자적발현방식주요시병인도비결핵의료궤구취진화건강검사.결론 균음폐결핵림상증상교경혹무증상,병조특이성불강,역조성오진화루진.조기발현유뢰우비결핵의료궤구적중시급시보병전진화증강인문매년진행건강검사적의식.
Objective To compare the clinical features of smear-negative pulmonary tuberculosis (PT-) and the smear-positive pulmonary tuberculosis (PT+),and analyze the patient discovery way,to provide clues for early detection of smear-negative tuberculosis diagnosis.Methods We collected the data of the tuberculosis patients consecutively enrolled in our hospital from 2011-2013.We then divided the patients into two groups as PT-group and PT+ group based on the bacteriology examination results and performed comparative analysis between the two groups.Results PT-group had mild clinical symptoms and lower frequencies of cough,expectoration and fever while compared to PT+ group.Tuberculosis cavity also had statistical significant difference between PT-and PT+ groups.Furthermore,seeing a doctor in medical institutions and health examination were the main ways for tuberculosis patient discovery.Conclusion Smear-negative pulmonary tuberculosis was difficult for diagnosis because of their mild or even no clinical symptoms and without focus specificity,which could easily lead to misdiagnosis and missed diagnosis.Non-tuberculosis medical institutions should pay more attention and people' s annual routine health examination should be recommended for smear-positive pulmonary tuberculosis early detection.