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为探索老年结核病的特点 ,分析了我所近十年来治管的 6 0岁以上病人临床资料 ,结果显示 :老年肺结核病人症状缺乏特异性 ,误诊率高 ,确诊时痰菌为 3(+)以上者占 46 .2 % ,传染性强。X线表现不典型 ,由于干酪坏死形成大片状阴影者占 5 2 % ,有空洞者占 75 %。经登记管理下治疗后初治治愈率仅达 74% ,复治治愈率达 6 0 %。提示老年结核病人是重要的传染源 ,全程管理下完成疗程率低 ,治愈率低 ,应积极采取DOTS治管措施 ,控制其传染性 ,可有效的控制结核病疫情。
In order to explore the characteristics of senile tuberculosis, we analyzed the clinical data of the patients over the past ten years in our country over the past ten years. The results showed that the symptoms of senile pulmonary tuberculosis were lack of specificity and the rate of misdiagnosis was high. The sputum was more than 3 (+) Who accounted for 46.2%, contagious. X-ray performance is not typical, due to the formation of large pieces of cheese shadow necrosis accounted for 52%, 75% of those who have holes. After registration, the initial cure rate after treatment was only 74%, and the cure rate was 60%. It is suggested that senile tuberculosis patients are an important source of infection. The rate of completion of treatment is low and the cure rate is low under the whole administration. DOTS management measures should be actively taken to control their contagiousness and effectively control the tuberculosis epidemic.