肺结核咯血161例临床分析

Clinical Analysis of 161 Cases of Pulmonary Tuberculosis Hemoptysis

目的:分析肺结核咯血的相关因素,提高对肺结核咯血的认识和控制,预防窒息。方法:对161例肺结核咯血患者进行临床表现、肺部影像学、合并症、痰菌检查、治疗及季节因素等综合分析。结果:肺结核咯血多见于继发型及陈旧性肺结核合并支气管扩张,影像学改变以斑片渗出为主。有空洞或复治的患者,发生大咯血的危险性高。结论:咯血是肺结核的严重并发症,应适时采用适当的治疗方法,避免对生命健康的危害。

Objective ：To analyze the related factors of pulmonary tuberculosis（PTB） hemoptysis to improve the understanding and control and prevent from suffocating.Methods ：161 cases of pulmonary tuberculosis hemoptysis were comprehensive to analyzed about the clinical manifestation, radiographic features, complications, sputum bacteria, treatment and the season.Results ：Pulmonary tuberculosis hemoptysis occurred most in the secondary PTB and old PTB with bronchiectasis. The radioactivity change seeped out the shadow by the spot piece primarily.The severe hemoptysis was easily occurred in the retreatment and cavitary PTB.Conclusion ：The hemoptysis is the severe complications of the PTB and shoud be treated in time with proper measures to reduce harm for the health.