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时间:2018-11-30
《肺结核感染合并慢性阻塞性肺疾病患者的临床分析》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、肺结核感染合并慢性阻塞性肺疾病患者的临床分析[摘要]目的探�分析肺结核(TB)感染合并慢性阻塞性肺疾病(COPD)患者的临床特点,指导诊治疗二者合并症的临床观察。方法方便选取2015年1―12月该院收治的TB感染合并COPD患者及单纯TB患者各120例,研究其基础资料、临床表现、实验室检查结果、影像学检查结果,从而分析TB合并COPD患者的临床特点。结果COPD合并肺结核组胸闷、胸痛、气喘、乏力、盗汗发生率多于单纯肺结核感染组(65.83%/10.00%,61.67%/10.00%,75.83%/5
2、5.00%,45.00%/5.83%,33.33%/4.17%),比较差异有统计学意义(P<0.05);PPD阳性、痰涂片查抗酸杆菌阳性TB组高于COPD合并TB组(39.17%/19.17%,70.83%/23.33%),但血电解质紊乱、低氧血症、Ⅱ型呼吸衰竭TB组低于TB合并COPD组(10.00%/27.50%,8.33%/20.83%,4.17%/13.33%),比较差异有统计学意义(P<0.05);肺炎X线表现、合并空洞症状TB组发生率高于COPD合并TB组(94.17%/41.46%,6
3、6.67%/27.50%),不同程度肺气肿、胸膜粘连或肋膈角变钝症状COPD合并TB组发生率高于TB组(100.00%/76.67%,32.50%/8.33%),比较差异有统计学意义(P<0.05)。结论随着COPD患者的逐年增多,COPD合并TB患者也在逐渐增多,应引起重视,加强COPD患者的结核病筛查,及时诊断并注意个体化治疗,绝大部分患者均可获得良好的预后。中国6/vie [关键词]慢性阻塞性肺疾病;TB感染;临床特点;影像学检查 [中图分类号]R563.9[文献标识码]A[]1674-0
4、742(2017)01(c)-0016-04 ClinicalAnalysisofPatientsonaryDisease ongolia,750306China [Abstract]ObjectiveTodiscusstheclinicalfeaturesofpatientsonarydisease.Methods120casesofpatientsittedandtreatedinourhospitalfromJanuary2015toDecember2015anifestations,l
5、aboratoryexaminationresultsandimagingexaminationresultsa,plegroup(65.83%/10.00%,61.67%/10.00%,75.83%/55.00%,45.00%/5.83%,33.33%/4.17%),andthedifferenceshadstatisticalsignificance(P<0.05),andthePPDpositiveandpositivesputumsmearforacid-fastbacilliinthepl
6、icationgroupplegroup(39.17%/19.17%,70.83%/23.33%),butthebloodelectrolytedisorder,hyoxemiaandrespiratoryfailureintheplicationgroupplegroup(10.00%/27.50%,8.33%/20.83%,4.17%/13.33%),andthedifferenceshadstatisticalsignificance(P<0.05),andtheincidencerateof
7、X-raymanifestationsofpneumoniaandcavityinthesimplegroupphysema,pleuraladhesionorbluntHarrisonangleintheplicationgroupplegroup(100.00%/76.67%,32.50%/8.33%),andthedifferencehadstatisticalsignificance(P<0.05).Conclusionostpatientscanobtaingoodprognosisbye
8、nhancingthetuberculosisscreeningofCOPDpatientsandnoticetheindividualtreatmentintime.
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