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目的分析老年慢性阻塞性肺病合并肺结核的临床症状和诊治方法。方法取2011年3月~2013年3月住院治疗的186例慢性阻塞性肺病合并肺结核患者，进行临床表现、X线、胸片检查和治疗的回顾性分析，探讨慢性阻塞性肺病合并肺结核的病理和治疗方法。结果在抗结核病治疗和抗炎、支持、对症、免疫治疗后，174例患者得到不同程度的治愈或者好转。结论老年慢性阻塞性肺病合并肺结核在临床上十分常见，且临床症状不明显，不易及早发现，容易引起误诊和漏诊，一旦发生十分凶险，并具有较高的并发症风险，应得到临床治疗的重视。“,”Objective To analyze clinical symptoms of senile chronic obstructive pulmonary disease (copd) with pulmonary tuberculosis and the diagnosis and treatment method. Methods During March 2011 to March 2013 was in the hospital treatment of 186 patients with chronic obstructive pulmonary disease (copd) with tuberculosis, car ies on the clinical manifestations, X-ray, chest X-ray examination and treatment were retrospectively analyzed, and investigate the pathology and treatment of chronic obstructive pulmonary disease (copd) with tuberculosis. Results In anti-tb treatment and anti-inflammatory, support, symptomatic, immune therapy, 174 cases of elderly patients with clinical symptoms were improved markedly, lung infection cured or improved. Conclusion Senile chronic obstructive pulmonary disease (copd) with tuberculosis is common in clinic, and the clinical symptom is not obvious, is not easy to early detection, easily lead to misdiagnosis and missed diagnosis, in the event of a perilously, and have high risk of complications, should get the at ention of the clinical treatment.