慢阻肺继发初治肺结核34例临床分析

Clinical Analysis of 34 Cases of Patients with COPD and Tuberculosis

目的探讨慢阻肺继发初治肺结核的临床特点,提高诊治水平。方法对2008年1月至2010年12月初次确诊慢阻肺继发肺结核患者34例临床资料进行回顾性分析。结果临床治愈30例,治疗失败4例。结论慢阻肺继发初治肺结核临床症状、X线表现不典型,容易延误诊治,重视痰检可及早确诊,正规抗结核可获良好疗效。

Objective To explore the clinical features of patients with COPD and TB, to improve the diagnosis and treatment. Methods 34 cases of patients with COPD and TB from 2008 to 2010 in our hospital were retrospectively analyzed. Results 30 patients were cured and 4 failed. Conclusion Patients with COPD and TB are easy to be incorrectly diagnosed due to the atypical features of symptoms and X-ray. More attention to sputum esamination will help in correct and earlier diagnosis of TB, get right treatment and good effect.