Page 99 - 北京京煤集团总医院第十一届·2023学术年会论文集
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北京京煤集团总医院 第十一届·2023 学术年会论文集
老年肺结核临床特征分析
李雅惠,杨晓丽,王皎磊,刘雪燕,李造新,王慧芳
(北京京煤集团总医院职业病科,北京 102308)
【摘要】目的:探讨老年肺结核临床特征的分析。方法:本研究选取 2022 年 1 月 1 日至 2022
年 12 月 31 日收入我科住院年龄在 60 岁以上诊断为肺结核老年患者,对其入院临床症状、
并发症、化验检查、胸部 X 线、CT 影像进行回顾性分析。探讨老年结核病临床特点以利于
指导临床诊断及治疗。结果:痰菌检测结果:未治疗前反复痰抗酸染色,痰培养共查出菌阳
22 例 ( 34.3%),菌阴 42 例 ( 65.6%)。(2)痰基因测定结果:共查出阴性 22 例 ( 34.3%),
阳性 42 例 ( 65.6%)。(3)结核抗体检测共查出阳性 12 例 ( 18.75%),阴性 52 例 ( 81.25%)。
(4)PDD 检测共查出阳性 38 例(59.3%),阴性 26 例(40.6%)。(5)结核分枝杆菌复合群
测定结果,弱阳性 2 例(3.1%),阳性 23 例(35.9),阴性 39 例 ( 60.9%)。 结论:总结出老年
结核病临床特点,得出男性患病结果明显高于女性,利于指导临床诊断及治疗。
【关键词】肺结核;临床特征;老年人;治疗;
Analysis of clinical characteristics of elderly pulmonary tuberculosis
[Abstract]Objective: To explore the clinical characteristics of elderly pulmonary tuberculosis.
Method: This study selected elderly patients with pulmonary tuberculosis diagnosed as over 60
years old who were admitted to our department from January 1, 2022 to December 31, 2022, and
retrospectively analyzed their clinical symptoms, complications, laboratory tests, chest X-ray, and
CT images upon admission. To explore the clinical characteristics of senile tuberculosis in order to
guide clinical diagnosis and treatment. Result: Sputum bacterial test results: Before treatment,
repeated acid fast staining of sputum was performed. A total of 22 cases (34.3%) were positive and
42 cases (65.6%) were negative in sputum culture. (2) Phlegm gene test results: A total of 22 cases
(34.3%) were negative and 42 cases (65.6%) were positive. (3) A total of 12 cases (18.75%) were
positive and 52 cases (81.25%) were negative for tuberculosis antibody testing. (4) A total of 38
cases (59.3%) were positive and 26 cases (40.6%) were negative in PDD testing. (5) The results of
Mycobacterium tuberculosis complex group determination showed weak positive in 2 cases (3.1%),
positive in 23 cases (35.9%), and negative in 39 cases (60.9%). Conclusion: The clinical
characteristics of tuberculosis in the elderly are summarized, and the results of male patients are
significantly higher than that of female patients, which is conducive to guiding clinical diagnosis
and treatment.
[Keywords] pulmonary tuberculosis; Clinical characteristics; Elderly people; Treatment;
我国是结核高负担的世界第三大国,其发病率在 A、B 类传染病中居于第一位。全过程
的短期监督自(DOTS)开始,结核病的发病率在逐年降低,但是,随着人口老龄化、人口
流动等因素的影响,60 岁以上的结核病病人越来越多,在整个人群中所占的比例也越来越
大。因年龄大、免疫力低、并发症多、毒副作用多、药物依从性及耐受性差等原因,已成为
[1]
结核病防控的难点,对老年人的身心健康造成极大危害。 通过对老年人肺结核临床特征的
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