期刊文献+

肺结核化疗中肺不张20例分析

Clinical Analysis on 20 Cases of Aclectasis during Chemotherapy of Pulmonary Tuberculosis
下载PDF
导出
摘要 目的 提高对肺结核化疗中肺不张的认识。方法  2 0例肺结核住院化疗中发生肺不张的时间、影像学特点、纤支镜检查、痰细胞学病理及治疗转归进行分析。结果  2 0例 CT检查发现肺门及纵隔淋巴结肿大 ;纤支镜呈外压性改变 15例 ,结节阻塞 5例 ;7例涂片抗酸杆菌阳性。 17例依原方案治疗 ,12例加用激素。肺复张时间在2 0~ 6 3d,3例疑肺癌手术治疗。2 0例均临床治愈。结论 肺结核化疗中肺不张少见 ,发病原因为化疗反应性淋巴结炎 ,部分为支气管结核暂时恶化。原方案化疗可使肺复张 ,加用激素则促进其复张。 Objective To further understanding of aclectasis during chemotherapy of pulmonary tuberculosis.Methods The onset, image characteristics fibrobronchoscopic, pathological findings and therapy evolution were analyzed on 20 aclectasis patients during chemotherapy of pulmonary tuberculosis. Results All patients were found to have lymphnode enlargement in the hilas of lung and mediastinum. There were external compression in 15 cases and obstruction in 5 cases under the bronchoscope. Tubercle bacillus was positive by sputum in 7 cases. Prednisone was added based on the primary programme in 12 of the 17 cases. 3 cases suspected of lung cancer were operated. Timing occurred between days 20 and 63.Conclusion Aclectasis during chemotherapy of pulmonary tuberculosis is rare.It is the result most from reactive lymphadenitis in chemotherapy and partly from temporary exacerbation of bronchial tuberculosis. Continuation of chemotherapy may reinflat lung and the use of hormone can further accelerate it.
作者 韩其峰 张梅
出处 《临床肺科杂志》 2004年第1期39-40,共2页 Journal of Clinical Pulmonary Medicine
关键词 肺结核 肺不张 化疗反应性 Tuberculosis Pulmonary aclectasis Chemotherapy reactivity
  • 引文网络
  • 相关文献

参考文献4

二级参考文献6

  • 1姚克俊,刘淑珍.肺结核在强化治疗中出现类赫氏反应6例[J]河北医药,1988(05).
  • 2陈科,胡丽华,柏保明.肺结核强力化疗中出现暂时性恶化11例[J]实用医学杂志,1987(06).
  • 3张胜军,张任.结核性胸膜炎治疗过程中对侧胸腔积液1例[J]河南医科大学学报,1987(01).
  • 4屠德华.治疗中肺结核病灶X线恶化现象分析[J]实用内科杂志,1986(11).
  • 5周训生.结核性腹膜炎强化治疗过程中发生变态反应性胸膜炎1例[J]实用内科杂志,1986(11).
  • 6宋自卫.肺结核治疗中发生的异常反应[J].中国实用医刊,1989,32(1):31-32. 被引量:2

共引文献342

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部