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目的探讨老年性肺结核的临床特点及治疗结果。方法回顾性分析我院2009年1月—2012年1月收治的66例老年性肺结核患者的临床资料,包括临床症状和体征、实验室检查、胸部X线检查、诊断类型及治疗结果。结果 66例老年性肺结核患者,临床症状和体征:出现头晕、心悸、乏力占63.3%,出现发热占61.7%,出现厌食占58.3%,出现咳嗽、咳痰占53.3%,出现咯血占53.3%;实验室检查:出现红细胞沉降率增快占57.6%;胸部X线检查:表现为渗出性病灶最多,占59.1%;诊断类型:诊断类型为浸润型占62.1%;治疗效果:治愈率为53.4%。结论老年性肺结核症状体征不典型,胸部X线检查表现以渗出性病灶最多,治愈率不高。所以,应提高对老年性肺结核临床特点的认识,才能提高其治疗效果。
Objective To investigate the clinical features and treatment outcome of senile pulmonary tuberculosis. Methods The clinical data of 66 elderly patients with pulmonary tuberculosis admitted in our hospital from January 2009 to January 2012 were analyzed retrospectively. The clinical data including clinical symptoms and signs, laboratory tests, chest X-ray examination, diagnosis type and treatment outcome were retrospectively analyzed. Results 66 patients with senile pulmonary tuberculosis had clinical symptoms and signs: dizziness, palpitations, weakness accounted for 63.3%, fever accounted for 61.7%, anorexia accounted for 58.3%, cough, sputum accounted for 53.3%, hemoptysis accounted for 53.3%; Laboratory examination: the rate of erythrocyte sedimentation increased 57.6%; chest X-ray examination showed the most exudative lesions, accounting for 59.1%; diagnosis type: the type of diagnosis for invasive type accounted for 62.1%; treatment effect: the cure rate was 53.4 %. Conclusion The symptoms and signs of senile pulmonary tuberculosis are not typical, chest X-ray examination showed the most exudative lesions, the cure rate is not high. Therefore, we should raise awareness of the clinical features of senile pulmonary tuberculosis in order to improve its therapeutic effect.