Mental state of patients with restricted forms of pulmonary tuberculosis]

The procedure of the multimodality personality investigation (MMPI) to examine the mental status and personality traits of 61 patients with newly diagnosed pulmonary tuberculosis of limited extent. The clinical and psychodiagnostic examination has revealed the following general types of a response to the disease: alienation from the people around, depressive reaction (18%), negative attitude to treatment (16.1% of the patients refused treatment and 13.1% refused surgical treatment), social adaptation impairment, neglect of the generally accepted behaviour patterns and schizoid personality traits. Along with this, the individual forms of a response to disease detection were determined. They were manifested by a number of symptom complexes: hypochondriac (13.6%), anxiety-depressive (18.4%) and paranoid (9.1%). These mental disorders gravely affected the patients and made treatment of the basic disease more complicated. A long-term conservative treatment aggravated depression and hysterical and schizoid personality traits. The mental status and the types of response were shown to differ from the same reactions in somatic patients with other abnormalities.     

Natural killers in the blood of patients with limited forms of pulmonary tuberculosis

Activity of natural killer cells in blood of 47 new cases of limited tuberculosis of the lung was studied during their complex examination. There was a significant decrease in the activity of the natural killer cells in tuberculous patients which could be used as an additional criterion of the specific process activity.     

120例矽肺结核患者结核分枝杆菌L型致病情况研究

目的探讨研究120例矽肺结核患者结核分枝杆菌L型致病情况的价值。方法对矽肺结核组和矽肺患者,分别进行痰结核分枝杆菌和痰结核分枝杆菌L型培养,并对结果进行对照观察。结果矽肺结核120例痰结核分枝杆菌培养阳性14例,阳性率11．6％,同时出现结核分枝杆菌L型培养阳性10例,占71．4％;痰结核分枝杆菌L型培养阳性58例,阳性率48％（P〈0．01）。结论结核分枝杆菌L型培养方法方便快速,能提高结核分枝杆菌的检出率,对矽肺结核的早期诊断及减少矽肺结核复发的漏、误诊有肯定的价值。