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结缔组织疾病并发菌阳肺结核33例临床分析 被引量:7

Clinical analysis of 33 cases of connective tissue disease co m plicated with infectious pulmonary tuberculosis
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摘要 目的 分析结缔组织疾病并发肺结核的临床特点。方法 回顾性分析1984 ~1998 年收治的结缔组织疾病并发菌阳肺结核33 例。结果 1 .33 例中的20 例(714 % ) 在肺结核发病前较长期服用免疫抑制剂。2 .胸部 X 线表现病变广泛,其中818 % 有空洞,667 % 伴肺间质改变,697 % 伴胸膜增厚。3 .肺结核较易被漏诊或误诊,且预后不良。结论 结缔组织疾病患者应警惕肺结核的发生,做到早期诊治,以期取得良好预后。 Objective To analyze the clinical characteristics of connective tissue disease complicated with pulmonarytuberculosis. Method To retrospectively analyze 33 cases of connective tissue diseases complicated with infectious pulmonarytuberculosis treated during 1984 ~1998 . Results 1 .71 4 % ofthe patients had along term treatment with im munodepressiondrugs before onset of pulmonary tuberculosis in 33 cases.2 . The disease were extensive in chest X ray examination ,81 8 %with pulmonary cavities,66 7 % with pulmonary interstitialchanges,69 7 % with pleuralthickening .3 . Pulmonary tuberculosiswere easily misdiagnosed and leakdiagnosed ,prognosis were worse . Conclusion We might look out for occurrence of pul monary T Bin patients with connective tissue disease for early diagnosis 、treatment and favourable prognosis.
出处 《中国防痨杂志》 CAS 1999年第3期140-141,共2页 Chinese Journal of Antituberculosis
关键词 结缔组织疾病 肺结核 并发症 临床分析 Connective tissue disease Tuberculosis ,pulm onary
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