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目的探讨老年慢性阻塞性肺疾病合并肺结核的临床治疗效果。方法回顾性分析2009年12月至2011年8月我院治疗的36例老年慢性阻塞性肺疾病合并肺结核患者的临床记录资料。结果 36例老年慢性阻塞性肺疾病合并肺结核患者经过积极的抗结核、抗炎、支持、对症以及免疫治疗,所有患者的呼吸功能明显改善,相继出院。其中,有3例患者的肺部斑片状阴影完全消失,2例较前吸收,1例患者没有发生变化;所以患者中,有3例患者的空洞发生闭合,1例明显缩小,1例患者没有发生变化;所有患者的并发症均治愈或明显改善。结论老年慢性阻塞性肺疾病合并肺结核的病情一般较重,且并发症及合并症较多,对患者积极的进行抗结核、对症、抗炎、支持以及免疫治疗,呼吸症状可明显好转,预后一般良好。
Objective To investigate the clinical effects of chronic obstructive pulmonary disease (COPD) complicated with pulmonary tuberculosis in elderly patients. Methods The clinical records of 36 elderly patients with chronic obstructive pulmonary disease and pulmonary tuberculosis treated in our hospital from December 2009 to August 2011 were retrospectively analyzed. Results 36 cases of elderly patients with chronic obstructive pulmonary disease and pulmonary tuberculosis after active anti-TB, anti-inflammatory, supportive, symptomatic and immunotherapy, all patients had significantly improved respiratory function, were discharged. Three of the patients had complete disappearance of the patchy shadows in the lungs, two of them absorbed more and one of them had no change. Therefore, three of the patients had cavitary occlusion and one was significantly reduced. One patient No changes occurred; all patients were cured or significantly improved. Conclusions Elderly patients with chronic obstructive pulmonary disease complicated with pulmonary tuberculosis generally have severe symptoms and more complications and complications. They are active in anti-tuberculosis, symptomatic, anti-inflammatory, supportive and immunotherapy. Respiratory symptoms can be obviously improved with a generalized prognosis good.