[治疗智障人士肺结核的个人经验]。

M Abramović, Z Hadzimurtezić, I Jokić, D Milosavljević, S Zarić
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引用次数: 0

摘要

本文报道90例不同形式、不同程度的智障患者肺结核的治疗结果。62例患者在开始抗结核治疗前一般及临床状况均很差,大部分患者由于智力低下及肺结核的传播而不能活动。在30例晚期结核患者中,54例轻度结核患者和6例轻度结核患者被发现。在住院患者中发现了所有临床形式的肺结核。治疗开始采用三联抗结核药物治疗,由于患者智力低下,还给予其他药物治疗。在抗结核治疗的头两个月期间,死亡率很高(27%或30%),特别是在年轻患者中。这一比率如此之高的原因不仅在于肺结核,而且还在于原发疾病,这是患者在智障人士研究所住院的主要原因。抗结核药物使用中的许多并发症无法登记,因为许多基本数据无法从智力迟钝的受试者中获得。63例患者肺结核完全康复或好转。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Personal experience in the treatment of pulmonary tuberculosis in mentally retarded persons].

The results of the therapy of pulmonary tuberculosis in 90 mentally retarded patients in various forms and degrees of retardation are presented. General and clinical condition of 62 patients was very bad prior to the onset of antituberculotic therapy and most of them were immobile due to the mental retardation and dissemination of pulmonary tuberculosis. In 30 patients advanced form of tuberculosis, in 54 patients mild form and in 6 patients a minimal degree of tuberculosis were found. In hospitalized patients all clinical forms of pulmonary tuberculosis were found. The therapy started with triplicate antituberculotic therapy and the patients were also administered other drugs due to their mental retardation. During the first two months of antituberculotic therapy a high mortality rate was registered (27 or 30%) especially in younger patients. The reason for such high rate cannot be attributed only to pulmonary tuberculosis but also to the primary disease as was the main reason of patients' hospitalization at the institute for mentally retarded persons. Many complications in antituberculotic use could not be registered since many of the basic data could not be obtained from mentally retarded subjects. The complete recovery or improvement of pulmonary tuberculosis was achieved in 63 patients.

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