妊娠期合并肺结核诊治时机与产妇预后的关系

The relativity of the diagnostic chance and prognostic of maternal pulmonary tuberculosis

目的 探讨妊娠期合并肺结核诊治时机与产妇预后的相关性。方法 对明确诊断的妊娠期合并肺结核患者 4 8例进行回顾性分析 ,按诊治时机分为两组 ,产前诊治组 2 1例和产后诊治组 2 7例 ,分别统计产妇预后情况。结果 产后诊治组血行播散型肺结核发生率 5 5 .6 % (15 / 2 7) ,合并结核性脑膜炎的发生率 4 4 .4 % (12 / 2 7) ,均显著高于产前诊治组的 9.5 % (2 / 2 1)和 0 (0 / 2 1) ,P均为<0 .0 0 5 ;产后诊治组死亡率 18.5 % (5 / 2 7) ,显著高于产前诊治组的 0 (0 / 2 1) ,P <0 .0 5。结论 妊娠期合并肺结核 。

Objective To evaluate the relativity of the diagnostic chance and clinical classify and prognostic of maternal pulmonary tuberculosis.Methods 48 cases with definite maternal pulmonary tuberculosis were analyzed retrospectively.They were assigned to two groups:pregnant group and postpartum group.Results The incidence of the hematogenous pulmonary tuberculosis 55.6% (15/27)?the incorporate incidence of cerebral tuberculosis 44.4% (12/27) of postpartum group were significantly higher than pregnant group,9.5% (2/21) and 0 (0/21) P<0.005;and the mortality of postpartum group 18.5% (5/27) were significantly higher than pregnant group 0 (0/21),P<0.05.Conclusion Diagnose and treat in gestation can reduce the incidence and mortality of heavy tuberculosis among maternal pulmonary tuberculosis.