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胃切除手术患者是继发性肺结核的发病因素之一,尚未引起临床上足够重视,笔者从1983年7月～1993年12月对胃切除手术后诱发肺结核40例作如下临床分析。 1 临床资料 1.1 病例选择与诊断标准 本组40例以往均因患胃或十二指肠溃疡施行胃切除手术治疗,术前常规进行胸部x线检查,全部病例均未发现肺结核。胃切除术后继发肺结核诊断标准:①胃切除术前证实无肺结核病史。②痰结核菌检查阳性。③胸片提示肺结核特征性改变。④抗结核治疗病情明显好转。
Gastrectomy patients is one of the incidence of secondary pulmonary tuberculosis, has not aroused sufficient attention in clinical practice, the author from July 1983 to December 1993 after gastrectomy induced tuberculosis in 40 cases for the following clinical analysis. 1 clinical data 1.1 case selection and diagnostic criteria in the past 40 cases were suffering from stomach or duodenal ulcer operation of gastrectomy, routine chest X-ray examination before surgery, no pulmonary tuberculosis in all cases. Secondary gonorrhea after gastrectomy diagnostic criteria: ① gastrectomy confirmed no history of pulmonary tuberculosis. ② sputum TB test positive. ③ chest X-ray showed characteristic changes in tuberculosis. ④ anti-TB treatment significantly improved.