Ⅲ型肺结核病人气促、咯血症状与肺功能关系

Relationship Between Dyspnoea、Hemoptysis In Type Ⅲ Pulmonary Tuberculosis And Routine Lung Funotion

目的：本文总结１０１例有咯血、气促症状的Ⅲ型肺结核病人常规肺功能改变。方法：气促按广州呼吸疾病研究所方法评级，其中２１．７８％为气促１级，１９．８０％为气促２级及以上。４５．５４％病人有咯血症状。结果：常规肺功能表明气促２级及以上病人ＰＦＶＣ（用力肺活量占预计值％）、PＦＥＶ_１（１秒量占预计值％）、ＰＭＭＦ（最大中期流速占预计值％）、ＦＥＶ_１％Ｇ（ＦＥＶ_１／ＦＶＣ）、ＰＰＥＦ（峰流速占预计值％）均显著低于气促０级或１级病人，且与年龄较大，病程较长有关（Ｐ＜０．０５或０．０１）。有咯血病人的ＲＭＭＦ、ＰＦＥＶ_１显著低于无症状者（Ｐ＜０．０５）。结论Ⅲ型肺结核病人的气促症状一定程度上反映患者肺功能丧失程度。有咯血症状的病人较无症状者具有更严重的阻塞性通气功能不良。

We studied the relationship between dyspnoea, hemoptysis symptoms inn type Ⅲ pulmonary tuber-culosis in adult and routine lung function (n = 101), With a diagnosis of dyspnoea as defined by the Guangzhou institute ofrespiratory disease. Mithfor: Of all these patients, 22(21. 78% ) had a diagnosis of grade 1, grade 2 and above were 20(19. 80% ), 46(45. 54%) had hemoptysis. Results: Routine lung function proved proved that grade 2 and above in the expiratory- flow parameters in MEFV curve (PFVC.PFEV1.PMMF.FEV1% G.PPEF) were significantly lower than grade 1 or 0, andrelated to older age and longer stadium(P<0. 01 or 0.05).PMMF and PFEV1 in hemoptysis were significantly lower thannonhareptysis (P < 0. 05). Conclusion: To Some extent dyspnoea in type Ⅲ pulmonary tuberculosis reflected the seventy oflung function impairment.The obstructive ventivatory impairment were more severe in those with hemoptysis than in non- hemoptysis patients.