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目的探讨老年人及中青年人肺结核的临床及影像学表现特点,以提高诊断水平。方法收集278例老年人(60~92岁)及415例中青年人(18~59岁)涂阳肺结核患者资料,综合分析其临床及影像学特征。结果老年组与中青年组相比,发热、咯血、胸痛、胸闷、厌食的发生率比较差异均有统计学意义(P<0.05),病灶累及双侧肺老年组168例(60.43%),中青年组170例(40.96%);累及右肺下野老年组161例(57.91%),中青年组141例(33.98%);其中以纤维化病灶为主要表现者老年组169例(60.79%),中青年组170例(40.96%);差异均具有统计学意义(P<0.05)。结论老年人肺结核在临床特点及X线表现上不同于青壮年,了解其临床及影像学表现特征有利于肺结核的早期诊断和治疗。
Objective To explore the clinical and imaging features of pulmonary tuberculosis in the elderly and middle-aged and young people in order to improve the diagnostic level. Methods The data of smear-positive pulmonary tuberculosis patients in 278 elderly (60-92 years old) and 415 middle-aged and young people (18-59 years old) were collected and their clinical and radiological features were analyzed. Results The incidence of fever, hemoptysis, chest pain, chest tightness and anorexia in the elderly group was significantly higher than that in the middle-aged and young adults group (P <0.05). 168 cases (60.43% There were 161 cases (57.91%) in middle-aged group and 141 cases (33.98%) in middle-aged and young-aged group, including 170 cases (40.96%) in youth group, 169 cases (60.79%) in elderly group with fibrosis as the main manifestation, 170 cases were young and middle-aged (40.96%), the differences were statistically significant (P <0.05). Conclusion Elderly pulmonary tuberculosis is different from young adults in terms of clinical features and X-ray findings. To understand its clinical and imaging features is conducive to the early diagnosis and treatment of pulmonary tuberculosis.