使用免疫抑制剂患者继发结核病的临床分析

Clinical analysis of the immunocompromised host complicating with tuberculosis

目的 分析使用免疫抑制剂患者继发结核病的临床特点。方法 对免疫抑制患者 ( ICH)继发结核病的 1 0 5例患者进行回顾性分析。结果 结核病的症状不典型或隐匿占 2 6.7% ;临床多以高热就诊的占 3 6.2 % ,且痰结核菌阳性率低 ( 3 6.2 % ) ;胸部 X线表现病灶以干酪渗出为主的占 56.2 % ,其次为粟粒状改变的占 2 2 .9% ;经抗结核治疗有效的 81例为 77.1 % ,其中诊断性治疗 2 3例。

Objective To analyze the clinical characteristics of immunocompromised host (ICH) complicating with tuberculosis.Methods To analyze 105 cases of ICH complicating with tuberculosis retrospectively.Results Of the 105 cases,26.7% had atypical or obscured symptoms,36.2% saw doctors because of serious feaer.The positive rate of sputum smear was low (36.2%),56.2% showed infiltrative and 22.9% showed miliary tuberculosis on chest X ray examination.81 cases (77.1%) were effective to anti tuberculosis chemotherapy and 23 cases (28.4%) of them were received diagnostic treatment.Conclusions The possibility of ICH complicating with tuberculosis shoued be paid attention.