42例血行播散性肺结核患者合并低氧血症的原因分析

Analysis of cause in 42 patients of acute miliary tuberculosis complicated with hypoxemia

目的探讨导致血行播散性肺结核患者合并低氧血症的原因。方法分析2010年1月～2010年12月急诊留观的血行播散性肺结核患者临床资料。结果 42例血行播散性肺结核患者中合并低氧血症者22例,血行播散性肺结核合并低氧血症的发生率是52.4%,患病时间延长、贫血、血白细胞数异常、中性粒细胞百分比增加与血行播散性肺结核患者合并低氧血症相关。结论低氧血症是血行播散性肺结核常见的并发症。

Objective To evaluate risk faetom of acute miliary tuberculosis complicated with hypoxemia. Methods Clinical and laboratory data of 42 patients with acute miliary tuberculosis in emergency from Jan. 20[0 to Dec. 2010 were retrospectively studied to dicuss the causes of hypoxemia. Results 22 cases were complicated with hypoxemia in 42 patients with acute miliary tuberculosis, and the incidence was 52. 4%. Longer duration of illness, anemia, abnormal blood leukocyte count, elevated neutrophilic percent were prone to develop hypoxemia. Conclusion Hypoxemia is the common complication of acute miliary tuberculosis. Treating it earlier will reduce morbility of ARDS and mortality.