[Clinical manifestations and specific features of the course of adenogenic tuberculosis in adults].

Problemy tuberkuleza Pub Date : 2003-01-01
L V Ozerova, I P Zaĭtseva, N A Chistiakova
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Abstract

The paper analyzes the clinical manifestations of adenogenic tuberculosis, the methods of its diagnosis and treatment in 44 patients (15 males and 29 females) aged 18 to 75 years. The signs of an active tuberculous process were identified in the bronchus and lung of 33 patients and the remaining patients had posttuberculous adaptogenic changes. A bronchological study revealed infiltrative bronchial tuberculosis in 15 patients, bronchial fistula in 4, inflammatory and cicatrical stenoses in 22, broncholiths in 2, and nonspecific bronchitis in 5. The patients with specific active changes received antituberculous chemotherapy with 4 drugs; those with nonspecific lesions had antirecurrent chemotherapy and, in case of an exacerbation of nonspecific recurrent pneumonias and chronic bronchitis, used antibiotics mainly as inhalants.

成人腺源性结核的临床表现及病程特点。
本文分析了44例(男15例,女29例)18 ~ 75岁腺源性结核的临床表现、诊断和治疗方法。在33例患者的支气管和肺中发现了活动性结核过程的迹象,其余患者有结核后适应性改变。支气管学研究显示浸润性支气管结核15例,支气管瘘4例,炎症性和瘢痕性狭窄22例,细支气管结石2例,非特异性支气管炎5例。特异性活性改变患者接受4种药物联合抗结核化疗;非特异性病变患者接受抗复发性化疗,在非特异性复发性肺炎和慢性支气管炎加重的情况下,主要使用抗生素作为吸入剂。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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