妊娠合并急性粟粒型肺结核病30例

Clinic Analysis of Pregnancy with Acute Miliary Pulmonary Tuberculosis

目的 探讨妊娠合并急性粟粒型肺结核病的临床特征。方法 回顾分析 30例妊娠合并急性粟粒型肺结核病临床有关资料。结果 30例占同期同龄住院女性的 4 0 % ,好发于妊娠早期、分娩及流产后 ;易合并肺外结核 ,尤其是结核性脑膜炎 (占 2 6 .7% ) ;发病至诊断中位时间 4 5日 ;早产率 35 .7% ,围生儿死亡率 2 1.4 %。结论 妊娠及分娩是已婚妇女易患急性粟粒型肺结核病的重要诱因 ,且易误诊及延误诊断 ,应引起重视。妊娠期确诊后应及时治疗 ,推迟至产后治疗是不正确的。

Objective To study clinic characteristic of pregnancy with acute miliary pulmonary tuberculosis.Methods Retrospective analysis of clinic characteristics of 30 cases with pregnancy and acute miliary pulmonary tuberculosis during January 1997 and September 2002. Results The 30 cases accounted for 40% of the total number of women patients of the same age during the study period. The incidence rate was higher during the periods of pregnancy, and delivery, and after abortion. The incidence rate of ex-pulmonary tuberculosis was high. The incidence rate of cerebral tuberculosis was 26.7%. The median time of diagnose was 45 days. The incidence rate of premature delivery was 35.7%. The mortality during perinatal stage was 21.4%.Conclusion Pregnancy and delivery are the volaerable periods for the development of the disease. It is the period when errors may occur misdiagnseie and treatment delay. The clinicians should pay an attention to it. The patients diagnosed during pregnancy should receive prompt treatment to reduce the incidence rate of premature delivery and mortality. Postponed treatment after delivery is not right.