老年肺结核102例临床分析

An Analysis of 102 Cases of Aged Pulmonary Tuberculosis

目的:提高对老年肺结核的认识。方法:分析1988～1998年间老年肺结核102例的临床资料。结果:1.临床症状主要是咳嗽、乏力和食欲下降,常无明显的盗汗、发热和咯血等表现;2.X胸片示:52例(50.97％)有陈旧性钙化灶;30例(29.41％)病灶在中下肺野;3.痰涂片找抗酸杆菌的阳性率(22.55％)和培养的阳性率(26.32％)都很低;4.结核菌素试验的阳性率(21.56％)也很低。结论:老年肺结核无明显的临床特征,易漏诊、误诊,临床医师应充分认识这一疾病。

Objective: To enhance the understanding of aged pudmoriary tuberahosis. Methods: 102 cases of aged pulmonary tuberadosis from 1988～1998 were analyed. Results: 1. The clinical common symptomys of these cases were cough, tiredness and poor appetite, but did not show commonly the symptomys of night sweat, fever and spit blood et al. 2. The past calcific foucses of 52 cases (50.97%) were shown in the uper lungs and the foucses of 30 cases (29.41%) were shown in the middly and lower lungs by the chest x-ray. 3. The positire rate of the smear (22.55%) and culture of spulum (26.32%) for acid fast baciui were very low and the positire rate of P. P. D was very tow too (21.56%). Couclusion: Because aged pulmonary tuberculosis doesn't appear special clinical characteristics, it is easy to fail and mistake diagnosis. This disease should be fully recognized by physicians.