129例青年肺结核的临床分析

目的探讨青年肺结核的发病特点和临床疗效。方法对129例青年肺结核患者的临床资料、临床特征、X线胸片进行归纳、分析。结果临床症状以咳嗽为最多见,占87.5%,其次为发热(70.5%)、乏力(67.4%)等;X线胸片与CT胸片发现,病灶以两肺同时出现为多,占42.6%;痰结核菌阳性者58例,占44.9%;有空洞形成者53例,占41.1%;及时合理治疗,病情可迅速好转。治疗结束,痰菌全部转阴,空洞闭合率为100%。结论由于青年肺结核肺部体征常不明显,临床工作者必须十分注意,对因症求诊者均应追踪观察,以便早期发现,早期治疗,只要遵循规范化的治疗原则,全程督导管理并合理补充营养,都能取得满意的效果。

Clinical Analysis of 129 Cases of Young Patients with Tuberculosis

Objective To explore the features and clinical curative effect of young patients with tuberculosis.Methods The clinical data and features,X-ray chest radiograph of 129 young patients with tuberculosis were summerized and analyzed.Results Cough was the main clinical symptom(87.5%),following fever(70.5%) and hypodynamia(67.4%).The X-ray chest radiograph and CT chest radiograph showed that the most lesions were found simultaneously in two lungs(42.6%);58 cases showed positive tubercle bacillus in sputum(44.9%);53 cases showed pulmonary cavity(41.1%).With the reasonable treatment in time,the disease condition could be improved quickly.After the treatment,all tubercle bacillus in sputum showed negative and the cavity closure rate was 100%.Conclusions Clinicians should pay more attention due to unobvious lung signs of young patients with tuberculosis for early detection and early treatment.Standardized treatment,full supervision of management and rational nutritional supplements can obtain satisfactory results