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妊娠合并结核临床诊治的决策 被引量:8

The Diagnosis and Treatment Strategy of Pregnancy Combined with Tuberculosis
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摘要 妊娠合并结核是一种对母婴健康危害极大的妊娠期疾病。在妊娠期结核病中,多数患者无明显症状,早期症状与妊娠期某些生理反应相似,加之妊娠与结核病的相互影响,X线、CT等重要的影像学检查受限,致使本病易被误诊或误治。某些抗结核药物对母婴的不良影响,使其治疗难以实施,由于结核病本身及治疗后可能对胎儿的影响,在临床上是否终止妊娠往往难以决策。本文就妊娠合并结核诊治过程中的相关问题进行综述,以期为临床诊治决策提供帮助。 Pregnancy combined with tuberculosis (TB) is a pregnant disease that risk to both mother and infant. Most ot the patients have no definite symptoms. In the early stages,the symptoms are similar to some physiological reactions. Because of the mutual influence between pregnancy and tuberculosis, there are many constraints in the imaging examination of TB, such as X-ray and CT scan, which lead to misdiagnosis or mistreatment. The toxicity of some anti-TB drugs makes it difficult to implement therapy, because of the effects on fetus of TB itself arid treatment, it is hard to make decisions clinically on the termination of pregnancy. This article summarized several focus problems about pregnancy combined with tuberculosis, we exoect to provide help for the clinical diagnosis and treatment decisions.
作者 金松 吴小军
出处 《医学与哲学(B)》 2013年第11期75-79,共5页 Medicine & Philosophy(B)
基金 湖北省计划生育委员会项目 项目编号:sj-201209
关键词 妊娠 肺结核 诊断 治疗 pregnancy tuberculosis(TB) diagnosis treatment
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参考文献16

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