论文部分内容阅读
目的 探讨产褥期结核病患者的特点及早期诊断。方法 回顾性分析了 1990年至 1999年间确诊的 2 0例产褥期结核病患者。结果 2 0例确诊患者经正确抗痨治疗后均痊愈。结论 产褥期结核以发病急、病情重、高热多见 ;以Ⅱ型结核为主 ,多产妇多见 ,治疗效果满意为其特点。对产后不明原因发热 ,伴乏力、盗汗、咯血、胸痛、胸闷、咳嗽等症状 ,以抗感染及对症治疗无效者 ,需及时摄胸片、作PPD试验 ,查痰菌、血或痰PCR—TB—DNA ,或抗结核抗体检查 ,以早期明确诊断。
Objective To investigate the characteristics and early diagnosis of postpartum tuberculosis patients. Methods Retrospective analysis of 20 cases of puerperium TB patients diagnosed between 1990 and 1999. Results 20 patients diagnosed were cured after correct anti-tuberculosis treatment. Conclusions Puerperal tuberculosis is more common in patients with acute onset, severe illness and hyperthermia. Type Ⅱ tuberculosis is more common and more common in maternal. Its therapeutic effect is satisfactory. Postpartum unexplained fever, with fatigue, night sweats, hemoptysis, chest pain, chest tightness, cough and other symptoms, anti-infective and symptomatic treatment ineffective, timely take chest radiograph, for PPD test, sputum bacteria, blood or sputum PCR-TB -DNA, or anti-TB antibody test to early clear diagnosis.