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结核病时心脏的损害并非罕见。在病理切片检查时,0.25—1.5％死于肺或其他器官结核的患者中发现有心肌结核。心血管系统病变在初发性结核病患者中较多见,据等氏的观察可达3.9％。作者将结核病时心脏的病变分为三类: (1)特异性病变——发生在粟粒性结核,广泛的急性血行播散性结核,乾酪性支气管淋巴腺炎,邻近组织(如骨)的病变,特异性心包炎时。结核灶自粟粒大至鸡蛋大;有时表现为弥漫性特异性心肌炎。病变常见于右心房及心耳中。随着病变的进展而发生乾酪性渐进性坏死灶,但亦可能发生疤痕化。临床经
Heart damage is not uncommon in tuberculosis. Myocardial tuberculosis was found in 0.25-1.5% of patients who died of tuberculosis in the lungs or other organs during biopsy. Cardiovascular disease is more common in patients with first-onset tuberculosis, according to Shi’s observation of up to 3.9%. The authors categorized the lesions of the heart during tuberculosis as being classified into three categories: (1) Specific lesions - lesions that occur in miliary tuberculosis, extensive acute hematogenous disseminated tuberculosis, cheese bronchitic lymphadenitis, and adjacent tissues such as bone , Specific pericarditis. Tuberculosis from miliary eggs as large as large; sometimes showed diffuse myocarditis. Lesions common in the right atrium and atrial appendage. With the progress of the disease occurs progressive cheese necrosis, but also may occur scarring. Clinical experience