摘要
目的通过探讨老年人肺结核的临床特点,为诊断和治疗老年肺结核提供参考。方法对我科诊断明确的58例老年肺结核患者,从临床症状、体征、并发症、实验室检查、X线胸片、胸部CT检查、临床诊断分型、治疗等方面进行观察、分析。结果老年肺结核患者临床表现,以肺部体征和全身症状为主,并发症多,以肺部疾患、心脑血管病和糖尿病、肺外结核为主。实验室检查阳性率较低,肺部X线病灶肺部广泛,类型多样不易鉴别,误诊率高,以浸润为主,对治疗效果较差。结论结合临床实际,提高对老年肺结核患者临床特点的认识,应用各种诊断方法,提高诊断准确性,治疗要根据老年人生理特点及药物代谢动力学变化,全面考虑,合理用药,综合治疗。
Objective To analyze of clinical features of pulmonary tuberculosis of 58 elderly patients. Methods 58 elderly patients suffering from pulmonary tuberculosis were diagnosed and selected. Then the clinical effect,chest X-ray,local CT, diagnosis and treatment were observed and anlyzeds. Results In the elderly patients with TB, the clinical manifestation has no specific symptoms. There is high rate in the relapse of pulmonary tuberculosis. Some patients have underlying disease and poor toleration in chemotherapy. And there is no good effect in the clinical practice. Conclusion According to clinical practice,it is imprtant to diagnose TB , make comprehensive analysis of the clinical characteristics and take personal treatment plan.
出处
《临床合理用药杂志》
2009年第5期28-29,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
肺结核
老年患者
临床特点
Pulmonary tuberculosis
Elderly patients
Clinical features
