24例妊娠合并肺结核临床及影像特点

目的分析妊娠合并肺结核的临床及影像特点。方法对24例明确诊断妊娠合并肺结核的住院患者进行回顾性分析。结果全身中毒症状明显，X线及CT主要特点：（1)病变多数为两侧多叶分布；（2)病变形态以斑片状、片状实变、空洞及结节为主要表现，且多种病变同时出现。急性、亚急性血行播散肺结核占20.8%，痰菌阳性率42. 1%，延误诊断率54. 1%。结论妊娠加重了肺结核，应提高对妊娠合并肺结核的认识，提高早期诊断率。

Clinical and radiographic characteristics of 24 pregnancy complicated with pulmonary tuberculosis

Objective To analyze the clinical and radiographic characteristics of pregnancy associated with pulmonary tuberculosis. Methods The clinical and imaging data of 24 women were analyzed retrospectively. Results The systemic toxic symptoms were significant. X-ray and CT showed bilateral multiple lobes involved, air space consolidation,cavities and nodules are most common. The acute and subacute hematogenous dissemination accounted for 20. 8 %, the positive rate of sputum culture was 42.1% , and the rate of misdiagnodid was 54. 1 %. Conclusions Pregnancy can agreevate tuberculosis. We should pay attention to the understanding of pregnancy with tuberculosis, and increase the rate of early diagnosis.