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目的 :探讨老年复治肺结核及合并症的临床特点。方法 :回顾性分析我院 49例 6 0岁以上老年复治肺结核患者的临床资料。结果 :老年复治肺结核特点是症状重 ,体征多 ,肺野病灶广泛 ,空洞多 ,痰菌阳性140例。采用规则的化疗方案 6～ 2 4月结合抗感染支持对症处理 ,病灶明显吸收及时性稍有吸收为 31 3% ,病灶不变及恶化为 5 5 3% ,死亡为 6 7% ,痰菌阴转为 6 7%。结论 :老年复治肺结核病情复杂 ,合并症多 ,免疫功能低下 ,抗结核治疗效果不满意
Objective: To investigate the clinical features of elderly patients with pulmonary tuberculosis and complications. Methods: The clinical data of 49 elderly patients with re-treatment of pulmonary tuberculosis over 60 years old in our hospital were retrospectively analyzed. Results: Elderly patients with recurrent pulmonary tuberculosis are characterized by symptoms, signs and more extensive lung field, empty and sputum positive 140 cases. The use of regular chemotherapy regimen 6 to 2 months combined with anti-infective support symptomatic treatment, the obvious absorption of the lesion slightly absorbable time was 31 3%, the same lesions and deterioration of 53.3%, the death was 67%, sputum bacteria Turn to 6 7%. Conclusion: The condition of elderly patients with complicated and complicated pulmonary tuberculosis is complicated, the number of complications is too high, the immune function is low, and the effect of anti-tuberculosis treatment is not satisfied