112例老年肺结核临床分析

Clinical analysis of 112 cases with aged pulmonary tubercolosis

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.