慢性阻塞性肺疾病合并肺结核45例临床分析

目的探讨慢性阻塞性肺疾病（COPD）合并肺结核的临床特点及治疗方法。方法回顾性分析我院2002年4月—2008年8月COPD合并肺结核45例患者的临床资料。结果COPD合并肺结核临床症状、影像表现不典型，易误诊。所有患者均在抗感染、平喘、祛痰基础上给予抗结核治疗。初治采用2HRZE／4HR短程标准化疗方案。复治患者根据既往用药史制定个体化方案。治疗中依据患者年龄、合并症调整用药。本组43例症状好转出院，门诊继续治疗，有2例因重症结核合并呼吸衰竭死亡。结论COPD合并肺结核发病率高，须提高认识，认真检查，尽早诊断．合理治疗．

Clinical Analysis of 45 Chronic Obstructive Pulmonary Disease Complicating Pulmonary Tuberculosis

Objective To study the clinical characteristics and treatment effects of chronic obstructive pulmonary disease （COPE）） complicating pulmonary tuberculosis. Methods The clinical data of 45 cases of COPD complicating pulmonary tuberculosis from April 2002 to August 2008 were analyzed. Results COPD complicating pulmonary tuberculosis were atypical clinical manifestations and misdiagnosed easilly. Conclusion There is a high rate of COPD complicating pulmonary tuberculosis. It is important to increases awareness and check carefully to improve effects of early diagnosis and therapy.