结核性胸膜炎临床特点与内科诊治分析

Clinical characteristics and diagnosis and treatment of tuberculous pleurisy

目的分析老年结核性胸膜炎(TP)的临床特点与内科诊治.方法取 2014年 3月至2018年 3月我所收治的老年TP患者67例,设为研究组;选同时期67例青年TP患者,设为对照组,对比分析两组临床特点及诊治方法.结果研究组临床症状以咳嗽、气急为主,与青年组胸痛、发热症状存在明显差异(P<0.05),两组均伴有较严重胸腔积液体征,胸水单双侧无明显差异,但对照组多以草黄色胸水为主,研究组血性胸水居多(P<0.05);研究组治疗显效率相比对照组较低,但两组总有效率无明显差异(P>0.05).结论老年 TP 患者多伴有多种老年病症,病情复杂多变,需准确掌握患者临床特点,可有效保证诊断准确率及临床疗效.

Objective To analyze the clinical characteristics and medical diagnosis and treatment of tuberculous pleurisy(TP)in the elderly.Methods 67 elderly patients with TP admitted to our hospital from March 2014 to March 2018 were selected as the study group,and 67 young patients with TP in the same period were selected as the control group.The clinical characteristics,diagnosis and treatment methods of the two groups were compared and analyzed.Results The main clinical symptoms of the study group were cough and shortness of breath,which were significantly different from those of the youth group in chest pain and fever(P<0.05).The two groups were accompanied by more severe pleural effusion sign.There was no significant difference in pleural effusion between the two sides.However,the control group was mainly composed of straw yellow pleural effusion,and the study group was mostly hemothoracic effusion(P<0.05).The study group had a lower treatment efficiency than the control group,but the total efficiencies of the two groups were lower.There was no significant difference in efficiency(P>0.05).Conclusion The elderly patients with TP are often accompanied by a variety of geriatric diseases,and their condition is complex and changeable.It is necessary to accurately grasp the clinical characteristics of the patients,which can effectively ensure the accuracy of diagnosis and clinical efficacy.