摘要
目的探讨老年人及中青年人肺结核的临床及影像学表现特点,以提高诊断水平。方法收集278例老年人（60-92岁）及415例中青年人（18-59岁）涂阳肺结核患者资料,综合分析其临床及影像学特征。结果老年组与中青年组相比,发热、咯血、胸痛、胸闷、厌食的发生率比较差异均有统计学意义（P〈0.05）,病灶累及双侧肺老年组168例（60.43%）,中青年组170例（40.96%）;累及右肺下野老年组161例（57.91%）,中青年组141例（33.98%）;其中以纤维化病灶为主要表现者老年组169例（60.79%）,中青年组170例（40.96%）;差异均具有统计学意义（P〈0.05）。结论老年人肺结核在临床特点及X线表现上不同于青壮年,了解其临床及影像学表现特征有利于肺结核的早期诊断和治疗。
Objective To detect the clinical and imaging characteristics of smear-positive pulmonary tuberculosis between the elderly and young patients in order to improve diagnosis.Methods The clinical and imaging characteristics of radiological photograph of 278 elderly（age range：60-92）and 415 young（age range：18-59） with confirmed smear-positive pulmonary tuberculosis were analyzed.Results There was a significant difference in clinical symptoms such as fever,hemoptysis,chest pain,chest distress,anorexia（P〈0.05）,the lesions were distributed bilateral lung in 168 cases（60.43%）in elderly group,and in 170 cases（40.96%）in younger group.The lesions were found lower right lung in 161 cases（57.91%）in elderly group,and in 141 cases（33.98%）in younger group.Fibrosis as the predominant,manifestation was seen in 169 cases（60.79%）in elderly group,and in 170 cases（40.96%）in younger group.There was significant difference between the two groups（P〈0.05）.Conclusion The pulmonary tuberculosis in the elderly is different from young people in clinical and imaging characteristics,which may help clinicians to early diagnose and treat the patients with pulmonary tuberculosis.
出处
《临床医学》
CAS
2011年第4期42-44,共3页
Clinical Medicine
关键词
胸片
肺结核
老年人
中青年人
Chest X-ray
Pulmonary tuberculosis
Elderly
Young
