对老年肺结核诊治的临床探讨

Diagnoses clinically to the old age pulmonary tuberculosis discusses

目的：探讨老年肺结核的发病情况、临床特点及诊治方案.方法：对324例老年肺结核与200例青年肺结核进行比较并分析.结果：老年组咳嗽、咳痰、气促分别占70.93%、、59.30%、56.39% 青年组分别占67%、58%、52.5%.病灶范围3个肺野以上者,老年组占51.74%,青年组占23%.痰菌阳性率老年组占43.60%,青年组37%.结论：老年肺结核发病率高,症状不典型,病变范围广泛,合并空洞者多,排菌率高,合并症多.

Objective： Discussion old age pulmonary tuberculosis morbidity situation, clinical characteristic and diagnosis plan. Methods：Carries on the comparison to 324 example old age pulmonary tuberculosis with 20% example youth pulmonary tuberculosis and analyzes. Results% The old age group cough, the expectorate, the short of breath account for 70.93 % separately, 59.30%, 56.39 % The youth group accounts for 67 % separately, 58% ,52.5% . Focus of infection scope 3 lungs wild above,the old age group accounts for 51.74% ,the youth group accounts for 23%. The phlegm fungus masculine gender rate old age group accounts for 43.60 %, the youth group 37 %. Conclusion： The old age pulmonary tuberculosis disease inci- dence rate is high, the symptom is atypical, the pathological change scope is widespread, the merge cavity are many, the discharge of bacteria rate is high, complications many.