摘要
目的 分析青壮年肺结核合并肺心病的临床特点 ,减少临床误诊。方法 对 10 5例 5 5岁以下青壮年肺结核合并肺心病患者的病程、临床特点进行回顾性分析。结果 所有患者除肺结核症状外均有不同程度的右心衰表现。X线显示 97例胸膜增厚 ,80例有结核性空洞存在 ,10 2例病变超过 3个肺野 ;心电图检查有阳性改变者 72例 ,33例不提示肺心病 ;97例患者行心脏彩超检查 ,均有右心室肥厚、肺动脉增宽的表现。结论 青壮年肺结核合并肺心病的临床表现具有不典型性 ,临床上应综合判断X线及心电图检查 ,对可疑病例行心脏彩超协助诊断。
Objective To analyze clinical features of tuberculosis complicated with pulmonary heart disease in young adults, in order to decrease clinical misdiagnosis. Methods 105 cases of tuberculosis complicated with pulmonary heart disease in young adults were retrospectively analyzed. Results There were tuberculosis manifestation and various degrees of right ventricle failure in all of cases. Roentgenograph showed pleural thickening in 97 cases, cavitary tuberculosis in 80 cases and more than 3 pulmonary fields were affected in 102 cases. Cardiograph showed positive changes in 72 cases and negative changes in 33 cases. Doppler echocardiography showed right ventricle thickening and pulmonary artery broadening in all 97 of examined cases. Conclusion Tuberculosis complicated with pulmonary heart disease in young adults was characterized with atypical manifestations which should be diagnosed by means of combined evaluation of symptoms, roentgenograph and cardiograph. Doppler echocardiography is one of the most believable methods to confirm diagnosis.
出处
《现代医院》
2004年第8期7-8,共2页
Modern Hospitals
