摘要
目的探讨肺结核并发急性呼吸窘迫综合征发生原因与防治方法。方法对本院2001年1月~2010年6月肺结核并发急性呼吸窘迫综合征52例的临床资料进行分析。结果长期使用糖皮质激素、糖尿病、获得性免疫缺陷综合症、合并营养不良低蛋白血症为肺结核并发急性呼吸窘迫综合征的重要原因,死亡率为21.15%（11/52）。结论免疫缺陷或低下为肺结核并发急性呼吸窘迫综合征的重要原因,高危人群的预防和肺结核的早期诊断治疗是关键,及早进行有效的机械通气是抢救成功的有效手段。
Objective To detect the causes,and explore the prevention and treatment methods of pulmonary tuberculosis complicated with acute respiratory distress syndrome.Methods Clinical data of 52 pulmonary tuberculosis cases complicated with acute respiratory distress syndrome in Wuhan Medical Treatment Center in January 2001-June 2010 were analyzed.Results Concurrent malnutrition or hypoalbuminemia,long-term use of immunosuppressive agents,diabetes,or secondary immunodeficiency can be one of the important causes of pulmonary tuberculosis complicated with acute respiratory distress syndrome,the mortality of which was 21.15%（11/52）.Conclusion Immunodeficiency or hypoimmunity is significant factor of pulmonary tuberculosis complicated with acute respiratory distress syndrome,of which both prevention for high-risk groups and early diagnosis of tuberculosis are the key points,and accordingly early effective mechanical ventilation should be effectual means of successful rescue.
出处
《临床肺科杂志》
2011年第2期217-218,共2页
Journal of Clinical Pulmonary Medicine
关键词
肺结核
呼吸窘迫
机械通气
tuberculosis
respiratory distress
mechanical ventilation
