肺结核并发呼吸衰竭的临床分析

Clinical Analysis of Pulmonary Tuberculosis Complicated With Respiratory Failure

目的研究肺结核并发呼吸衰竭患者的临床治疗效果。方法选取本院2013年12月—2017年12月收治的45例肺结核合并呼吸衰竭患者为研究对象,所有患者均采用常规抗结核治疗和呼吸衰竭治疗。结果 45例肺结核合并呼吸衰竭患者治疗后,38例患者呼吸衰竭症状好转,7例患者死亡,其中3例患者死于呼吸衰竭,2例患者死于肝衰竭,2例患者死于循环衰竭。治疗后,患者PaCO_2、PaO_2水平与治疗前相比,差异具有统计学意义(P<0.05)。结论肺结核合并呼吸衰竭患者的死亡率较高,一旦发病则需及时采取有效的措施治疗,减少死亡率。

Objective To analyze the clinical effect of pulmonary tuberculosis complicated with respiratory failure. Methods 45 cases of pulmonary tuberculosis combined with respiratory failure were selected in the hospital from December 2013 to December 2017. All patients were treated with conventional anti-tuberculosis treatment and respiratory failure.Results After treatment for 45 cases of pulmonary tuberculosis patients with respiratory failure, 38 patients were improved, 7 patients died, 3 patients died of respiratory failure, 2 cases died of hepatic failure patients, 2 patients died of circulatory collapse. After treatment, the level of PaCO2 and PaO2 was statistically signifcant （P 〈 0.05）. Conclusion The mortality rate of pulmonary tuberculosis patients with respiratory failure is higher, and effective measures should be taken in time to reduce mortality.