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统计我院1993～1995年收治的肺结核患者529例,出现较典型的精神症状患者33例,占6.2％,综述如下。1 临床资料1.1 一般资料 出现较典型的精神障碍患者33例,男22例,女11例,年龄平均42.2岁,并发慢性阻塞性肺气肿和(或)肺心病26例,精神障碍原因(见表1)。1.2 临床表现及辅助检查 咳嗽、咳痰表现33例,气促、胸闷30例,痰检抗酸杆菌阳性22例,肺性脑病组血气分析二氧化碳分压(PCOz):58～85mmHg(1mmHg=0.133kPa);氧分压(P02):38～74mmHg,肺结核继发结核性脑膜炎组均有颅内高压表现和脑膜刺激症状,脑脊液Pandy试验+～+++,细胞数55～729×10~6/L,其中1例CT示有脑软化灶形成;严重感染组体温均高于38.5℃或低于36.0℃,血白细胞高于18.0×10~9/L;
Statistics in our hospital from 1993 to 1995, 529 cases of tuberculosis patients admitted, there were 33 patients with typical psychiatric symptoms, accounting for 6.2%, summarized as follows. 1 Clinical data 1.1 General Information There are 33 typical cases of mental disorders, 22 males and 11 females, mean age 42.2 years, complicated by chronic obstructive pulmonary emphysema and / or pulmonary heart disease in 26 cases, mental disorders (see Table 1). 1.2 clinical manifestations and laboratory examinations of cough, sputum performance in 33 cases, shortness of breath, chest tightness in 30 cases, sputum acid-fast bacilli positive in 22 cases, pulmonary encephalopathy group analysis of carbon dioxide partial pressure (PCOz): 58 ~ 85mmHg (1mmHg = 0.133 kPa); oxygen partial pressure (P02): 38 ~ 74mmHg, tuberculous meningitis secondary to tuberculous meningitis both intracranial hypertension and meningeal irritation, cerebrospinal fluid Pandy test + ~ + +, cell number 55 ~ 729 × 10 ~ 6 / L, of which 1 case showed CT formation of cerebral softening; body temperature of severe infection were higher than 38.5 ℃ or lower than 36.0 ℃, white blood cells higher than 18.0 × 10 ~ 9 / L;