39例矽肺结核的临床特点及诊治问题.docVIP

精品论文 参考文献 39例矽肺结核的临床特点及诊治问题 常德市劳动卫生职业病防治所湖南常德 415000 【摘 要】目的：探析矽肺结核的临床特点及诊治问题。方法：回顾性分析2014年1月~2015年12月收治于我市某院的39例矽肺结核患者的临床资料，对所有的病例采取综合对症治疗措施。结果：本组39例矽肺合并肺结核患者经过治疗后，共治愈18例，约占46.15%；迁延未愈2例，约占5.13%；死亡19例，约占48.72%，其中治疗过程中因呼吸衰竭死亡10例，约占总例数的25.64%，肺结核加重导致死亡6例，约占总例数的15.38%，病情恶化转变为肺癌而死亡3例，约占总例数的7.69%。结论：矽肺合并肺结核患者的临床表现复杂多变，在对患者进行诊断时需要根据临床表现、影像学检查和病原学检查进行综合分析，一旦确诊需要及时的采用肺结核治疗方法进行治疗，同时还应该注意基础营养，提高临床治疗的效果。 【关键词】矽肺结核；临床特点；诊治 【Abstract】 objectives：analysis of the Silicon Forest characteristics and diagnosis and treatment of pulmonary tuberculosis.Methods：retrospective analysis in January 2014 forecast December treated in our hospital clinical data of 39 patients with silico-tuberculosis，comprehensive treatment measures imposed on all cases.Results：this group 39 cases silicosis merged tuberculosis patients after treatment Hou，total cure 18 cases，about accounted for 46.15%；delay not more 2 cases，about accounted for 5.13%；death 19 cases，about accounted for 48.72%，which treatment process in the for breathing failure death 10 cases，about accounted for total cases number of 25.64%，tuberculosis aggravated led to death 6 cases，about accounted for total cases number of 15.38%，illness deterioration change for lung cancer and death 3 cases，about accounted for total cases number of 7.69%.Conclusion：the clinical manifestations in patients with Silicosis combined with pulmonary tuberculosis complicated in patients diagnosed according to clinical manifestations，imaging and etiological examination were analysed，the tuberculosis treatment once diagnosed the need for timely treatment，should also pay attention to basic nutrition，improve the effectiveness of clinical treatment. 【Key words】 silicotuberculosis；clinical characteristics of diagnosis and treatment 矽肺常见的并发症是肺结核，随着矽肺病情的加重，出现肺结核空洞显著，矽肺和结核两种情况相互促使病变，严重则会引起患者死亡。[1]矽肺并发肺结核临床上化疗效果并不理想，容易继发性出现肺源性心脏病和慢性阻塞性肺疾病，在多种其他应激情况下，则会使患者并发其他多器官功能衰竭。[2]本文回顾性分析2014年2月~2015年6月收治于我市某院的39例矽肺结核患者的临床资料，对其临床特点及诊治问题进行分析，现报道如下： 1、临床资料 1.