摘要
目的:探讨老年肺结核的临床特点。方法:对112例老年肺结核的临床资料进行回顾性分析。结果:老年肺结核呼吸系统症状多见,咳嗽93例(83%),咳痰89例(80%),胸痛67例(60%);全身中毒症状少,发热26例(22%),盗汗28例(25%),消瘦34例(30%);多伴有合并症或并发症,影像学表现不典型,纤支镜检查可提高诊断率。结论:老年肺结核早期诊断困难,临床医生应提高对结核病的认识,减少误诊率。
Objective:To analyze the clinical features of pulmonary tuberculosis in elderly patients. Merhods:To retrospectively analyse the clinical features of 112 elderly patients with pulmonary tuberculosis including clinical manifestation ,laboratory examination, chest imaging and PPD test. Results:Cough(83%), sputum production(80%) and chestpain(60%), were the most common chief complaints. Poisoning symptom was fewest. Most of mixed symptom or complication were accompanied in aged patients. Imagings were non-specific. The diagnosis rate could be increased by bronchofibroscope. Condusion:The symptoms are non-specific in elderly patients.The early diagnosis is diffcult.The knowledge of aged pulmonary tuberculosis should be improved.
出处
《现代医药卫生》
2009年第7期985-986,共2页
Journal of Modern Medicine & Health
关键词
肺结核
老年人
痰检
Pulmonary tuberculosis
Aged
Sputum examination