摘要
目的:提高对耐多药结核病的认识,为临床正规、系统治疗该病提供更好的依据。方法:分析耐多药肺结核患者的年龄特点,产生相关因素,探讨耐多药肺结核的临床及胸部影像表现特点。结果:耐多药肺结核主要发生在中青年;产生原因主要是不规律用药;临床咯血多见;病变分布范围广泛,累及多叶多段,空洞、支气管扩张多见,部分出现单侧或一叶肺毁损。结论:临床医生应正确运用规范方案治疗管理肺结核患者,特别是中青年患者,减少不规律医药,尽量控制耐多药现象的泛滥。对治疗效差、病变广泛、特别是肺毁损的患者,应警惕耐多药肺结核可能,及时行耐药监测。
Objective：To provide better evidence for systematic ＆ normal treatment of MDR -TB and to increase the knowledge for MDR -TB. Methods：Analyzed the age characteristic and related disease factor of MDR - TB, and discussed the clinical specialty in terms of chest image of MDR - TB. Results ： MDR - TB was normally found from younger or mid - generation. It was mainly due to irregular treatment ; the more patients were clinical showcasing of hemoptysis. The MDR -TB were in wild range, included multiple lobes ＆ segments and cavitations; the bronchiectasis were also accompanied. In some cases there were whole lung lobe or single side lung affected. Conclusion：Doctor should offer normal treatment ＆ diagnosis for patients, especially in those from mid and younger generation should avoid to have irregular drug, and control drug - abuse. As the patients had little curative effect or wild range affected or destroied, the doctors should monitor MDR -TB in time.
出处
《现代临床医学》
2013年第1期24-25,共2页
Journal of Modern Clinical Medicine
