肺结核病伴喉结核20例

目的 提高对肺结核病伴喉结核的诊治水平。方法 回顾分析20例肺结核病伴喉结核患临床及诊治特点。结果 20例均为初治肺结核病,其中血行播散型肺结核病7例,继发性肺结核病13例;痰菌阳性13例;PPD强阳性10例;声嘶16例,咳嗽咳痰13例,痰痛性吞咽困难6例,发热5例,胸闷气喘2例及咯血1例。伴明显结核中毒症状14例。20例正规抗结核治疗后均痊愈。结论 肺结核病伴喉结核预后佳。早期、规律及联合抗痨是关键。

Analysis of 20 Cases of Pulmonary Tuberculosis Accompanied by Laryneal Tuberculosis

Objective To improve the awareness of pulmonary tuberculosis accompanied by laryneal tuberculosis.Methods 20 cases of pulmonary tuberculosis accompanied by laryneal tuberculosis were reviewed.Results All the patients showed initial tuberculosis,including 7 with circulate disseminate tuberculosis,13 with secondary tuberculosis,13 with smear positive,10 with purified protein derivative positive,16 with a hoarse voice,13 with cough and expiration,6 with sore and difficult swallow,5 with a high fever,2 with suffocative chest and asthma,1 with spit blood.Fourteen cases had tuberculosis toxaemia.After formal antituberculosis chemotherapy,chest x-ray could be absorbed basically and clinic symptoms disappeared.Conclusion All the patients remained healthy after they were cured.An early?regular and combined antituberculosis methodis the key for the treatment.