摘要
目的 :提高活动性肺结核合并肾结核的诊治水平。方法 :分析 2 8例肾结核合并活动性肺结核患者的诊治情况。结果 :88.2 %的患者PPD试验阴性 ;5 5 .6 %的患者痰涂片找抗酸杆菌阳性 ;除 5例患者外 ,其余 2 3例患者均首先进行了 3～ 6个月的抗结核治疗。结论 :肾结核合并活动性肺结核的患者往往存在细胞免疫力低下 ,治疗上应该首先进行抗结核和调节免疫功能的治疗 ,然后才进行相应的外科处理。对一般情况较好的患者 ,可以在 2周的抗结核治疗后立即进行手术治疗。
Objective:To implove the level of diagnosis and treatment of renal tuberculosis complicated with active pulmonary tuberculosis.MethodsThe diagnosis and treatment of 28 cases with renal tuberculosis complicated with active pulmonary tuberculosis were analyzed.Results:88.2% of patients were negative in PPD test, and 55.6% positive in the sputum acid fast stain. All the patients except 4 received thetreatment of anti-tuberculosis continuosly for 3-6 months before surgery.Conclusion:It is necessary to treat the patients with anti-tuberculosis drugs and improve their immune function before proper surgical treatment.Patients in fair general condition could be operated on 2 weeks after anti-tuberculosis therapy.
出处
《重庆医科大学学报》
CAS
CSCD
2003年第5期660-661,共2页
Journal of Chongqing Medical University
关键词
肾结核
肺结核
治疗
Renal tuberculosis
Pulmonary tuberculosis
Treatment
