2016—2020年杭州市流浪乞讨肺结核患者临床特征分析

Analysis of clinical characteristics of tuberculosis patients in vagrants and beggars in Hangzhou from 2016 to 2020

为分析流浪乞讨肺结核患者的临床特征,笔者收集浙江大学医学院附属杭州市胸科医院结核病诊疗中心2016年1月至2020年12月收治的82例流浪乞讨肺结核患者的临床资料进行回顾性分析。结果发现,82例患者中,男性76例(92.68%),女性6例(7.32%);平均年龄(41.04±12.93)岁。初治患者54例(65.85%),复治患者28例(34.15%);耐药患者6例(7.32%),均为复治患者;菌阳肺结核61例(74.39%),菌阴肺结核21例(25.61%);合并肺外结核25例(30.49%)。82例患者中合并肺部感染64例(78.05%),合并HIV/乙型肝炎病毒/梅毒感染者14例(17.07%),合并低蛋白血症60例(73.17%),合并贫血44例(53.66%),合并精神障碍/智力障碍18例(21.95%),合并糖尿病19例(23.17%),合并脏器功能衰竭18例(21.95%),合并休克9例(10.98%)。分析显示,流浪乞讨肺结核患者菌阳比例高、复治比例高、营养状况差、合并症多、病情严重。

In order to analyze the clinical characteristics of tuberculosis patients in vagrants and beggars,the clinical data of 82 tuberculosis patients in vagrants and beggars admitted to the Tuberculosis Diagnosis and Treatment Center of Hangzhou Chest Hospital Affiliated to Zhejiang University School of Medicine from January 2016 to December 2020 were collected for a retrospective study.Of the 82 cases,it was found that 76(92.68%)were male and 6(7.32%)were female with the average age of(41.04±12.93)years old;54 cases(65.85%)were of initial treatment and 28 cases(34.15%)were of retreatment;drug-resistant was found in 6 cases(7.32%),all of whom were retreatment patients;bacterial positive pulmonary tuberculosis was found in 61 cases(74.39%),and 21(25.61%)were bacterial-negative pulmonary tuberculosis;25 cases(30.49%)complicated with extrapulmonary tuberculosis.Of the 82 patients,64(78.05%)complicated with pulmonary infection,14(17.07%)complicated with HIV/hepatitis B/syphilis,60(73.17%)complicated with hypoalbuminemia,44(53.66%)complicated with anemia,18(21.95%)complicated with mental disorder/intellectual disability,19(23.17%)complicated with diabetes,18(21.95%)complicated with organ failure,9(10.98%)complicated with shock.The results showed that the pulmonary tuberculosis patients in vagrants and beggars had high rates of positive bacteria and retreatment,in addition,poor nutritional status,many complications,and serious illnesses were also found.