胸结核后遗症:表现与患者生活质量。

Q4 Medicine
M Fafa Cisse, Y Dia Kane, I N Abessolo Amougou, F B Mbaye, K Thiam, N O Touré
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引用次数: 1

摘要

对许多患者而言,结核病史等同于致残后遗症、生活质量受损以及高发病率和死亡率。本回顾性研究回顾了2017年住院的胸结核后遗症患者的档案,评估其各种表现及其对生活质量的影响。在纳入的176例患者中,75%的患者年龄在35至65岁之间。他们以男性为主,性别比为3.76。社会经济水平大多较低(70%)。在89.8%的病例中,仅一次结核病发作就足以引起后遗症。吸烟常被发现(52.3%)。功能体征以咳嗽(90.3%)和呼吸困难(72.7%)为主。52.2%的患者有肺后遗症伴纤维性瘢痕形成。细菌和/或病毒重复感染是住院的主要原因(50%)。住院期间死亡率为19%。81%的患者出院后病情好转,14.2%的患者出现慢性呼吸功能不全。出院患者6个月内死亡的比例为13.28%。胸结核的后遗症应视为长期慢性疾病,应给予同等治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sequelae of thoracic tuberculosis: manifestations and patients'quality of life.

For many patients, a history of tuberculosis is synonymous with disabling sequelae, impaired quality of life, and high morbidity and mortality. This retrospective study reviewed the files of patients hospitalized for sequelae of thoracic tuberculosis during 2017, to assess its various manifestations and their impact on quality of life. Of the 176 patients included, 75 % were aged from 35 to 65 years. They were predominantly male, with a sex ratio of 3.76. The socioeconomic level was mostly low (70 %). Only one episode of tuberculosis sufficed to cause sequelae in 89.8 % of cases. Smoking was often noted (52.3 %). Functional signs were dominated by coughs (90.3 %) and dyspnea (72.7 %). Pulmonary sequelae with fibrous scarring were observed in 52.2 % of the patients. Bacterial and/or viral superinfection was the leading cause of hospitalization (50 %). The death rate during hospitalization was 19 %. An improvement followed by discharge was observed for 81 %, 14.2 % of them with chronic respiratory insufficiency. In all, 13.28 % of the discharged patients died within the 6 months that followed. The sequelae of thoracic tuberculosis should be considered as long-term chronic conditions and deserve the same treatment.

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来源期刊
Medecine et sante tropicales
Medecine et sante tropicales TROPICAL MEDICINE-
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0.60
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