[The specific features of detection, clinical picture, and treatment of pulmonary tuberculosis in patients with mental diseases].

V S Odinets, O D Baronova, T I Novikova
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Abstract

One hundred and thirteen patients with pulmonary tuberculosis and mental disease and 127 tuberculosis patients without mental diseases were studied. Patients with mental diseases were observed to have asymptomatic pulmonary tuberculosis with insignificant expectoration, which made the microbiological diagnosis of tuberculosis difficult. The basic method for detection of tuberculosis is to make a fluorographic study every 6 months, which enables active detection of more than 92% of new cases of tuberculosis as minor forms. The efficiency of treatment for tuberculosis concurrent with mental diseases was high: bacterial discharge ceased in 93.3% of cases, decay cavities closed in 80%, which was associated with the possibility of performing long-term continuous treatment in the inpatient setting.

【精神疾病患者肺结核的检测特点、临床表现及治疗】。
对113例肺结核合并精神病患者和127例无精神病肺结核患者进行了研究。精神疾病患者多有无症状的肺结核伴轻微的咳痰,这给肺结核的微生物诊断带来了困难。结核病检测的基本方法是每6个月进行一次荧光研究,这使得92%以上的新发结核病病例作为轻微形式被主动检测出来。肺结核合并精神疾病的治疗效率很高:93.3%的病例细菌排出停止,80%的病例龋齿闭合,这与在住院环境中进行长期持续治疗的可能性有关。
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