结缔组织疾病并发菌阳肺结核33例临床分析

目的 分析结缔组织疾病并发肺结核的临床特点?方法 回顾性分析1984～1998 年收治的结缔组织疾病并发菌阳肺结核33 例?结果 1 .33 例中的20 例(71.4 % ) 在肺结核发病前较长期服用免疫抑制剂?2 .胸部 X-线表现病变广泛,其中81.8 % 有空洞,66.7 % 伴肺间质改变,69.7 % 伴胸膜增厚?3 .肺结核较易被漏诊或误诊,且预后不良?结论 结缔组织疾病患者应警惕肺结核的发生,做到早期诊治,以期取得良好预后?

Clinical analysis of 33 cases of connective tissue disease co m plicated with infectious pulmonary tuberculosis

Objective To analyze the clinical characteristics of connective tissue disease complicated with pulmonarytuberculosis. Method To retrospectively analyze 33 cases of connective tissue diseases complicated with infectious pulmonarytuberculosis treated during 1984 ～1998 . Results 1 .71.4 % ofthe patients had along term treatment with im munodepressiondrugs before onset of pulmonary tuberculosis in 33 cases.2 . The disease were extensive in chest X ray examination ,81.8 %with pulmonary cavities,66.7 % with pulmonary interstitialchanges,69.7 % with pleuralthickening .3 . Pulmonary tuberculosiswere easily misdiagnosed and leakdiagnosed ,prognosis were worse . Conclusion We might look out for occurrence of pul monary T Bin patients with connective tissue disease for early diagnosis ?treatment and favourable prognosis.