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目的 通过对海洛因依赖者患肺结核１５ 例的临床观察，试图发现此类病例的临床特点。方法 分析近５ 年武汉市结核病医院及十二医院住院治疗的海洛因依赖者中的肺结核病人的一般情况及临床特点。结果 本组病例符合吗啡类药物依赖诊断标准。男１３ 例、女２ 例。２６ ～３８ 岁占８６７ ％ ， 初治占６００ ％ 。病情较重，毁损肺占６００ ％ ，合并症多。服药顺从性差，无１ 例能坚持治疗６ 个月，治疗失败率１０００ ％ ，１０ 例菌阳病例均未阴转。结论 海洛因依赖者中的肺结核病人在抗结核治疗的同时应实施强制性戒毒，以避免对社会造成更大危害。
Objective To investigate the clinical features of 15 cases of pulmonary tuberculosis in heroin dependent patients and to find out the clinical features of such cases. Methods The general situation and clinical features of pulmonary tuberculosis among heroin addicts in Wuhan TB Hospital and 12th Hospital in recent 5 years were analyzed. Results This group of patients met morphine-dependent diagnosis criteria. 13 males and 2 females. 26 ~ 38 years old accounted for 86 7%, the initial treatment accounted for 60 0%. Serious illness, lung damage accounted for 60 0%, more complications. Poor medication compliance, no one can insist on treatment for 6 months, the failure rate of 100 0%, 10 cases of positive bacteria were not negative. Conclusions Tuberculosis patients among heroin dependent persons should undergo compulsory detoxification while anti-TB treatment so as to avoid harming society.