【摘要】 目的 探讨初治空洞性肺结核的临床特点及短程化疗方案效果。方法 回顾性分析临床确诊的49例空洞性肺结核患者临床资料。结果 49例患者中咳嗽45例,发热43例,乏力、盗汗27例,痰涂片阳性36例。X线胸片表现为单发、薄壁、干酪性空洞43例,病变累及2个以上肺野34例。6个月疗程结束后,病程小于30 d者空洞治疗有效率为75.6%,病程大于30 d者空洞治疗有效率为42.1%。结论 初治空洞性肺结核多有典型的结核中毒症状,X线胸片以单发、薄壁、干酪性空洞为主,病变累及多个肺野,早期治疗有利于空洞的吸收。

    【关键词】 初治;空洞性肺结核;临床分析

    Initial treatment cavitary pulmonary tuberculosis clinical analysis

    MA Yue-ping,FENG Shang-jie,MA Xue-ping.

    Center for Disease Control and Prevention,Wu zhong,751100, China

    【Abstract】 Objective To explore effect of initial treatment cavitary pulmonary tuberculosis in clinical characteristics and short-course chemotherapy.Methods Retrospective analysis clinical data of 49 definite cases. Results There are 45 case of cough, 43 cases of fever, 27 cases hypodynamia and night sweat and 36 case of sputum smear positive.Chest X-ray show in 43 cases with single,thin-walled and caseous cavity, 34 cases with lesions involved over 2 lung fields. 6 months after the therapy was done, when the diabetic duration of less than 30 days,cavity curative effect rates were 75.6%, the diabetic duration of less than 30 days, cavity curative effect rates were 42.1%. Conclusion Most of them have typical toxic symptoms of phymatiosis, Chest X-ray show single,thin-walled and caseous cavity, lesions involved multiple lung fields, early treatment beneficial to absorption of cavity. ......