结核病与妊娠

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自古以来,对妊振与肺结核互相关系的认识已改变过几次,但在有效化疗出现前,有关这方面的争论,目前看来均无重要意义。近年的研究已肯定,接受治疗的妊娠结核病人预后良好。De March总结100名结核病人的149次妊娠过程未证明对妊娠、分娩、产后期、哺乳有不良作用。对她们给以适当治疗(甚至具有活动性病变或化疗后仍存在空洞者)均不存在复发的危险。由于妊娠妇女的结核经治疗均预后良好,一度推行的“治疗性流产”已不使用,但化疗的发展当未能完全根除妊娠中发生其他并发症,即使是近期文献仍可见妊娠者患严重的脑膜、腹膜或粟粒型结核的材料。关于结核病的诊断手段,一般提出的原则,筛 Since ancient times, the understanding of the relationship between pregnancy-induced tuberculosis and tuberculosis has changed several times, but controversy in this respect before the advent of effective chemotherapy appears to be of no significance at this moment. Recent studies have confirmed that the treatment of pregnant women with tuberculosis prognosis is good. De March Summary 149 pregnancies in 100 TB patients have not been shown to have adverse effects on pregnancy, childbirth, postnatal period, or lactation. To their proper treatment (even with active lesions or after chemotherapy there are still some people) there is no risk of recurrence. Since the treatment of tuberculosis in pregnant women has a good prognosis, once the implementation of the “therapeutic abortion” has not been used, but the development of chemotherapy when not completely eradicate other complications during pregnancy, even in recent literature can still be seen in patients with severe pregnancy Menin, peritoneum or miliary tuberculosis material. On the diagnosis of tuberculosis, generally put forward the principle of screening
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