老年肺结核178例诊治分析

Diagnosis and Treatment of 178 Cases of Senile PulmonaryTuberculosis

目的探讨老年肺结核的临床特点。方法对178例老年肺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,全身中毒症状少,多伴有合并症或并发症,影像学和痰检确诊困难者可行支气镜检查及刷检可提高诊断率。结论老年肺结核早期诊断困难,临床医生应提高认识,减少误诊。在治疗上应根据老年人特点并结合具体情况制定治疗方案并定期复查。

Objective To explore the clinical features of elder patients with tuberculosis.Methods To conduct a Retrospective analysis on clinical data of 178 cases of elder patients with tuberculosis. Results Respiratory symptoms of senile pulmonary tuberculosis more common; Fewer symptoms of systemic poisoning; more complications; For patients with difficulty in medical imaging and sputum examination, it has high correctness for diagnosing pulmonary tuberculosis with bronchitis endoscopy examination and brush biopsy examination.Conclusion Early diagnosis of senile Pulmonary Tuberculosis is not easy and clinical doctors should enhance awareness of complicated cases to reduce misdiagnosis and mistreatment based on the treatment plan and periodical checking according to concrete situations.