摘要
目的探讨慢性阻塞性肺病(COPD)合并肺结核的临床特点、诊断和治疗。方法对我市结核病防治专业机构近2年收治的210例COPD合并肺结核患者的临床资料进行分析。结果通过规则治疗、合理护理后大部分治愈或好转。结论 COPD合并肺结核多见于老年患者,由于基础疾病容易掩盖结核病状,导致误诊率增高。此类人群免疫功能普遍低下,结核菌素试验(PPD)、结核抗体(TBAB)阳性率不高,多途径痰检是明确诊断的重要方法,且病程较长,临床上需引起高度重视,要早诊断,早治疗,以提高治愈率。
Objective To investigate the clinical characteristics,diagnosis and treatment of chronic obstructive pulmonary disease with pulmonary tuberculosis.Methods The clinical data was analysed based on 210 patients with chronic obstructive pulmonary tuberculosis disease（COPD）and pulmonary tuberculosis treated by TB professional organisations in our city in last two years.Results The majority of the patients were cured or improved after regular treatment and reasonable care.Conclusion COPD combined with TB more happened to elderly patients with pulmonary tuberculosis.A higher rate of misdiagnosis resulted from the fact that TB-like disease was easily concealed by basic diseases.Such groups had low-immune function generally and their positive rate of tuberculin test（PPD）and tuberculosis antibodies（TBAB） was low.Thus smear in many ways is an important method of diagnosis.Close attention should be paid to the disease for its longer course and early diagnosis and early treatment should be given to improve the cure rate.
出处
《临床肺科杂志》
2011年第3期399-400,共2页
Journal of Clinical Pulmonary Medicine
关键词
慢性阻塞性肺病
肺结核
分析
chronic obstructive pulmonary disease
pulmonary tuberculosis
treatment
