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目的:探讨老年肺结核临床特征,提高老年肺结核诊治水平,减少误诊。方法:采用回顾性分析方法,对80例老年肺结核临床特征进行分析。结果:老年肺结核临床表现多样化,并发症多,痰检阳性率低,X线胸片不典型,病灶范围广,以片状阴影为主,易漏诊、误诊。结论:掌握老年肺结核的临床特征,反复行痰液检查及胸片比较,制定合理的个体化治疗和综合治疗,提高老年肺结核诊治水平。
Objective: To investigate the clinical features of elderly pulmonary tuberculosis, improve the diagnosis and treatment of senile pulmonary tuberculosis and reduce misdiagnosis. Methods: A retrospective analysis of 80 elderly patients with tuberculosis clinical features were analyzed. Results: The clinical manifestations of elderly patients with tuberculosis are diverse and have many complications. The positive rate of sputum examination is low. The chest radiograph is not typical. The range of the lesions is wide. Conclusion: To master the clinical features of elderly pulmonary tuberculosis, repeated sputum examination and chest X-ray comparison, to develop rational individualized treatment and comprehensive treatment to improve the diagnosis and treatment of senile pulmonary tuberculosis.