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目的 探讨老年人肺结核病的临床特点 .方法 回顾性分析了 5 9例 6 0岁以上老年肺结核的临床表现、肺 X线特征、诊断及治疗效果 .结果 15 9例患者以肺结核诊断入院者 2 1例 (35 .6 % ) ,其他疾病 (非结核病 )入院者 38例(6 4.4% ) ,其中 14例为复发性肺结核 ;2 5 4例 (91.5 % )合并有不同脏器疾病 ;34 4例经抗结核治疗后治愈或好转 ,总有效率为 74.6 % ;4死亡 7例 (13.4% ) ,其中因确诊晚未及治疗的 3例 ,合并肿瘤死亡 4例 .结论 老年人肺结核临床表现不典型 ,合并症多 ,诊断和治疗较困难 .提高对老年肺结核的注意 ,具有十分重要的意义
Objective To investigate the clinical features of pulmonary tuberculosis in the elderly.Methods The clinical manifestations, pulmonary X-ray findings, diagnosis and treatment of 59 elderly pulmonary tuberculosis patients over the age of 60 years were retrospectively analyzed.Results 15 9 cases were diagnosed as pulmonary tuberculosis 21 Among them, 38 cases (36.4%) were admitted to other diseases (non-tuberculosis), of which 14 cases were recurrent pulmonary tuberculosis; 254 cases (91.5%) had different organ diseases; 34 4 cases The total effective rate was 74.6% after treatment with anti-TB therapy, and 7 cases (7.4%) with 4 deaths, of which 4 cases were complicated with tumor death due to the late diagnosis and no treatment.Conclusion The clinical manifestations of pulmonary tuberculosis in the elderly are not typical , More complications, diagnosis and treatment more difficult to improve the attention of elderly pulmonary tuberculosis, is of great significance