摘要
目的探讨肺结核并发急性呼吸窘迫综合征的临床分析。方法选取2009月1月至2010年12月汕头市潮阳中医院内科住院治疗的肺结核患者共100例,其中50例肺结核患者合并ARDS为观察组,50例非ARDS患者为对照组,比较两组患者各项观察指标的差异。结果肺结核患者发生ARDS与年龄>65岁、复治肺结核、高血压史、COPD病史、粟粒性肺结核、休克、病灶所占肺野数增加和发热有关,两组比较差异具有统计学意义(P<0.05);观察组患者死亡21例(42.00%),对照组患者死亡2例(4.00%),两组患者病死率差异具有统计学意义(P<0.05)。结论治疗肺结核过程中,应针对有可能发生ARDS的相关因素,及时采取干预治疗,这对于成功救治肺结核患者尤为重要。
Objective To learn the clinic analysis of tuberculosis with ARDS. Methods 100 patients of tuberculosis in Shantou Chaoyang TCM Hospital divided into observation group with 50 patients of ARDS and control group with 50 patients of non-ARDS. All the patients are checked each observation indicators. Results The occurrence of tuberculosis with ARDS is due to age （65）, retreatment tuberculosis, hypertension, COPD, miliaris phthisis, shock,lung field increase and fever.The diverse of 2 groups has significance（P〈0.05）. The case fatality rate of observation group（42.00%）and control group（4.00%）have significance（P〈0.05）. Conclusion Treat in time for tuberculosis due to correlative factors of ARDS is important for patients.
出处
《中国医药指南》
2011年第28期221-222,共2页
Guide of China Medicine
关键词
肺结核
急性呼吸窘迫综合征
临床分析
Tuberculosis
Acute respiratory distress syndrome
Clinic analysis
