191例住院结核病人死亡情况分析

Analysis of the death of 191 hospitalized tuberculosis cases

目的探讨住院结核病人死亡原因和影响因素。方法回顾性分析191例结核病住院死亡病历,统计分析死亡原因和有关因素。结果结核病死亡患者中60岁以上者占58.12%,60岁以下者好发肺外结核。结核病直接死因前五位为呼吸功能不全、心功能不全、肺部感染、肺气肿和咯血,并存病前5位为慢支、肝病、肾功能不全、冠心病、糖尿病和高血压。结论结核病死亡患者以老年男性为主,结核性脑膜炎、并发消化道出血、合并肝病和糖尿病,应引起结核病防治工作者重视。

Objective To investigate the cause of the death of the hospitalized tuberculosis cases. Methods Retrospective study of 191 inpatients was made, data of tuberculosis death were analyzed. Results The rate of the TB death over 60 years old was 58.12%. Patients under 60 years tend to suffer from extra-pulmonary tuberculosis. The first 5 direct causes of death were pulmonary insufficiency, cardio insufficiency, pulmonary infection, COPD and hemoptysis. The first 5 coexisting diseases were chronic bronchitis , liver disease , kidney insufficiency, diabetes mellitus and hypertension. Conclusion The aged male patients were the major group of tuberculosis death. More attention should be paid to tuberculosis meningitis, digestive tract hemorrhage, liver disease and diabetes in tuberculosis control.