新发现老年人菌阳肺结核患者延误诊断的调查分析

Analysis of the cause for misdiagnosis of elderly smear-positive tuberculosis patients

目的探讨老年肺结核的误诊原因,提高老年肺结核的诊断水平。方法采用临床分析方法,对2003～2007年60岁以上收治误诊的102例老年肺结核病人进行分析。结果老年延误诊断患者79例(77.52%);延误诊断的中位数是73.3天。医生延误的主要原因是误诊,病人延误的主要原因是未重视、误以为感冒不需看医生占68%。有56.9%的患者有合并症。结论老年肺结核临床特点不典型,合并症多,就诊和诊断延迟现象较为严重。应切实加强老年结核病防治工作,以便做到早期诊断、早期治疗。

Objective To realize the cause of misdiagnoses of tuberculosis and improve the diagnosis of tuberculosis in elderly patients. Methods This essay used the Clinical Analysising Methods, surveyed 102 smear-positive tuberculosis patients who were above 60 years old and been misdiagnosised between 2004 and 2007. Results The number of delayed diagnosis elderly patients is 79 , and the average period is 73.3 days. Most delaying by doctor is because of misdiagnosis, while the main reasons of delaying caused by patients themselves（68% ） are no attention or they mistreat it as had a cold. About 56.9% patients get conplicdtion. Conclusions The clinical features of elderly smear-positive tuberculosis patients is not typical but with more complications, so the delays in diagnosis and treatment would be more serious. We should strengthen the prevention and control work of the elderly smear-positive tuberculosis patients, in order to achieve early diagnosis and treatment？