24例妊娠合并肺结核临床及影像特点

中国防痨杂志 ›› 2009, Vol. 31 ›› Issue (12): 697-700.

24例妊娠合并肺结核临床及影像特点

李莉¹；贺伟²

1.北京市公安医院北京 100007；2.北京市胸科医院北京 101149

出版日期:2009-12-10 发布日期:2011-11-03

Clinical and radiographic characteristics of 24 pregnancy complicated with pulmonary tuberculosis

Li Li¹，He Wei²

1. Beijing Gong'an Hospital, Beijing 100007, China ；2. Beijing Chest Hospital. Beijingl0114:9 , China

Online:2009-12-10 Published:2011-11-03

摘要/Abstract

摘要： 目的分析妊娠合并肺结核的临床及影像特点。方法对24例明确诊断妊娠合并肺结核的住院患者进行回顾性分析。结果全身中毒症状明显，X线及CT主要特点：（1)病变多数为两侧多叶分布；（2)病变形态以斑片状、片状实变、空洞及结节为主要表现，且多种病变同时出现。急性、亚急性血行播散肺结核占20.8%，痰菌阳性率42. 1%，延误诊断率54. 1%。结论妊娠加重了肺结核，应提高对妊娠合并肺结核的认识，提高早期诊断率。

关键词: 妊娠并发症，感染性, 结核，肺/放射摄影术

Abstract: Objective To analyze the clinical and radiographic characteristics of pregnancy associated with pulmonary tuberculosis. Methods The clinical and imaging data of 24 women were analyzed retrospectively. Results The systemic toxic symptoms were significant. X-ray and CT showed bilateral multiple lobes involved, air space consolidation,cavities and nodules are most common. The acute and subacute hematogenous dissemination accounted for 20. 8 %, the positive rate of sputum culture was 42.1% , and the rate of misdiagnodid was 54. 1 %. Conclusions Pregnancy can agreevate tuberculosis. We should pay attention to the understanding of pregnancy with tuberculosis, and increase the rate of early diagnosis.

Key words: pregnancy complications, infectious, tuberculosis, pulmonary/radiography

李莉,贺伟. 24例妊娠合并肺结核临床及影像特点[J]. 中国防痨杂志, 2009, 31(12): 697-700.

Li Li¹，He Wei². Clinical and radiographic characteristics of 24 pregnancy complicated with pulmonary tuberculosis[J]. Chinese Journal of Antituberculosis, 2009, 31(12): 697-700.

[1]	韩丹陈志飞刘妍丽梁军段琼红阮汉利. 抗结核治疗对中晚期妊娠结核病患者的婴幼儿生长发育影响[J]. 中国防痨杂志, 2013, 35(5): 361-364.
[2]	张晓萍马红霞郭佑民. 儿童肺结核CT影像分析[J]. 中国防痨杂志, 2013, 35(2): 116-119.
[3]	伍建林沈晶徐凯张清路希伟. 肺间质改变为主的继发性肺结核的CT诊断价值与疗效评价[J]. 中国防痨杂志, 2012, 34(04): 207-211.
[4]	黎惠如刘文. 多层螺旋CT对DR胸片显示孤立病灶菌阴肺结核的诊断价值[J]. 中国防痨杂志, 2011, 33(8): 505-508.
[5]	马艳成诗明周林李亮杜建杨华林刘志敏刘飞鹰姚嵩. 初治涂阴肺结核胸片复读结果与诊断质量多因素分析[J]. 中国防痨杂志, 2011, 33(11): 707-712.
[6]	赵广成，张健，何燕. 多层螺旋CT薄层扫描对活动性肺结核的诊断价值[J]. 中国防痨杂志, 2011, 33(10): 671-674.
[7]	路希伟,伍建林,. 新发、复发及慢性肺结核CT征象的比较研究[J]. 中国防痨杂志, 2007, 29(1): 25-28.