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目的对52例老年慢性支气管炎合并肺结核患者进行临床分析。方法资料随机选自2011年7月~2012年10月在本院就治的老年慢性支气管炎合并肺结核患者52例,给予辅助检查,并分析患者的漏诊、误诊情况,对所有患者采取综合性的治疗措施,抗结核与抗感染做到同时进行。结果 52例患者有34例(65.4%)漏误诊,漏误诊率普遍较高。通过对患者的漏诊和误诊情况进行分析,并对52例患者进行辅助检查后,漏诊下降至18例(34.62%),误诊1例(1.92%)。经过综合的治疗措施后,气喘严重的患者下降到10例(19.23%),表现有结核中毒症状的患者3例(5.77%),其中盗汗发热患者好转。结论老年慢性支气管炎合并肺结核疾病易出现漏诊、误诊的情况,所以诊断应十分谨慎,在确诊后除了要对患者进行全程监督以外,还要合理的选药,采取抗结核与抗感染的综合治疗措施。同时遵循适量、全程和早期的治疗原则,通过各项综合治疗促进患者病情的康复。
Objective To analyze 52 cases of elderly patients with chronic bronchitis and pulmonary tuberculosis. Methods Data were randomly selected from 52 patients with senile chronic bronchitis and pulmonary tuberculosis treated in our hospital from July 2011 to October 2012. They were given auxiliary examinations and analyzed for misdiagnosis and misdiagnosis of the patients and comprehensive treatment of all patients Treatment measures, anti-TB and anti-infection to do at the same time. Results In 52 cases, 34 cases (65.4%) misdiagnosed and missed misdiagnosis rates were generally higher. By analyzing the misdiagnosis and misdiagnosis of the patients, the missed diagnosis dropped to 18 cases (34.62%) and 1 case (1.92%) misdiagnosed after the auxiliary examination of 52 patients. After comprehensive treatment, the number of patients with severe asthma dropped to 10 (19.23%), 3 patients (5.77%) showed symptoms of tuberculosis, of which the patients with fever and sweating improved. Conclusions The diagnosis of misdiagnosis and misdiagnosis of elderly patients with chronic bronchitis complicated with pulmonary tuberculosis is easy. Therefore, the diagnosis should be very cautious. In addition to the full supervision of the patients after the diagnosis, rational drug selection and comprehensive treatment of anti-TB and anti-infectives Measures. At the same time, follow the appropriate, full and early treatment principles, through the comprehensive treatment to promote the rehabilitation of patients.