70岁以上妇女肺结核临床病程分析

Pneumonologia polska Pub Date : 1990-04-01
A M Sedlaczek
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引用次数: 0

摘要

对1985年1月1日至1988年12月31日在捷克科学院肺科治疗的34例70岁以上女性和30例35 ~ 55岁女性(平均43.8岁)的肺结核病程进行了分析。70岁以上女性肺结核的诊断主要基于临床依据(82%)、痰液阳性(88%)和晚期影像学改变。25%的人发现了中肺叶综合征的证据,所有痰液都呈阳性。而在对照组中则没有这种发现。该组几乎所有患者均采用药物治疗。链霉素耐受性最差。两组的治疗过程相似。研究组的肺结核通常在晚期被诊断出来。70岁及以上女性人群是一个重要的流行病学危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Analysis of the clinical course of pulmonary tuberculosis in women over 70 years of age].

The course of pulmonary tuberculosis was analyzed in 34 females older than 70 years and 30 women, age range 35-55 years (mean 43.8 yrs) treated between 1.01.1985 and 31.12.1988 in the Pulmonological Department of the Szczecin Medical Academy. Pulmonary tuberculosis in females aged more than 70 years was diagnosed basing mainly on clinical grounds (82%), positive sputum (88%) and advanced radiological changes. In 25% evidence of the middle lobe syndrome was found--all sputum positive. In the control group such findings were not seen. In almost all patients of this group 4 drug therapy was instituted. Streptomycin was tolerated the poorest. The therapeutical course was similar in both groups. Pulmonary tuberculosis in the studied group was usually diagnosed in the advanced stage. The population of females of 70 years and older is an important epidemiological risk factor.

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