慢性阻塞性肺疾病合并肺结核的临床研究

Clinical Study on Chronic Obstructive Pulmonary Disease Complicated with Pulmonary Tuberculosis

慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)简称慢阻肺,是呼吸系统的常见疾病,慢阻肺患者最常见诱因为呼吸道感染,此类病人机体免疫力低下、长期吸入糖皮质激素控制病情,在此期间最易引起结核分枝杆菌的感染,因此慢阻肺合并肺结核的患者更难以治疗,两病共存以及相互影响使疾病的诊断和治疗存在难度,增加患者的死亡风险。本文从慢阻肺合并肺结核的危险因素、临床特点、影像学特点、肺功能以及治疗等方面进行综述。

Chronic obstructive pulmonary disease (COPD), also known as chronic obstructive pulmonary dis-ease (COPD), is a common respiratory disease. Patients with COPD are the most common cause of respiratory infections, and their immune system is low. Long term inhalation of corticosteroids to control the condition is the most likely cause of infection with Mycobacterium tuberculosis during this period. Therefore, patients with COPD combined with pulmonary tuberculosis are more difficult to treat. The coexistence and mutual influence of two diseases make the diagnosis and treatment of the disease difficult, increasing the risk of death for patients. This article reviews the risk factors, clinical characteristics, imaging features, pulmonary function, and treatment of chronic obstructive pulmonary disease (COPD) complicated with pulmonary tuberculosis.