老年性肺结核的临床影像诊断

目的探讨老年肺结核的影像诊断。方法将老年性肺结核的临床特点、实验室检查、影像学检查相结合进行讨论。结果老年性肺结核缺少较典型的临床表现,更常见非特异性症状,结核菌素是较好的辅助检查方法,而老年性肺结核痰菌培养阳性率较高,而其影像检查虽不很典型,但老年性肺结核还是与典型的原发、继发性肺结核有区别,老年性肺结核常表现为肺下野浸润性病变,病变常多发而空洞相对少见。结论对老年性肺结核进行早期诊断和治疗,既控制了传染源,又减少了病死率,意义重大。

Clinical imaging diagnosis of age-related pulmonary tuberculosis

Objective To explore the imaging diagnosis of age-related pulmonary tuberculosis.Methods The clinical features of age-related pulmonary tuberculosis,laboratory tests and imaging studies were combined together and analyzed.Res ults Age-related pulmonary tuberculosis didn’t have typical clinical manifestations,but with more common non-specific symptoms,tuberculin was a good auxiliary method of examination,and the positive rate of sputum culture in age-related pulmonary tuberculosis was very high.Though its imaging was not very typical,the age-related pulmonary tuberculosis was still different from typical primary or secondary tuberculosis.Usually age-related pulmonary tuberculosis shows more lung infiltrating lesions but rare cavity.Conclus ion Age-related pulmonary tuberculosis should be given early diagnosis and treatment so as to not only control the source of infection,but also reduce the mortality rate.