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目的:探讨老年初治涂阳肺结核的临床特点,以期更好地对老年人肺结核做到早发现、早治疗、从而更好地控制老年肺结核,减少肺结核传染源。方法:对我市2009-2014年我市收治的326例初治涂阳老年肺结核诊疗情况进行回顾性分析,对其临床症状、首诊就诊时间延迟情况、性别、结核病接触史、胸部X线、进行回顾性分析。结果:326老年涂阳肺结核合并糖尿病患者存在以下特点;临床症状不典型,40%有结核病密切接触史,就诊延迟现象严重,导致病程相对较长,出现慢性纤维空洞较多、合并症较多,治疗效果不够理想。
OBJECTIVE: To explore the clinical features of smear-positive pulmonary tuberculosis in the elderly in order to better detect and treat early pulmonary tuberculosis in the elderly so as to better control elderly pulmonary tuberculosis and reduce the source of pulmonary tuberculosis. Methods: A retrospective analysis was made on the diagnosis and treatment of 326 cases of newly diagnosed and elderly patients with pulmonary tuberculosis in our city from 2009 to 2014. The clinical symptoms, the delay of visiting the first visit, sex, history of contact with tuberculosis, chest X-ray, Retrospective analysis. Results: 326 elderly patients with pulmonary tuberculosis complicated with diabetes have the following characteristics: clinical symptoms are not typical, 40% had close contact with tuberculosis, delayed treatment was serious, resulting in a relatively long course of disease, there are more chronic fibrous cavities, more complications, The treatment effect is not ideal.