关键词: 结核, 肺/并发症, 肺心病, 青年人, 维吾尔族

Abstract: Objective To analyze the clinical feature and treatment of pulmonary tuberculosis (PTB) complicated with cor pulmonale in Uygur young adults in order to reduce misdiagnosis. Methods The course of disease, clinical feature and treatment of 140 Uygur young adults with PTB complicated with cor pulmonale aged 20-55 hospitalized in the First People’s Hospital of Kashi in 2010—2012 were analyzed retrospectively. Results Among the 140 cases, there were 28 cases with hemoptysis, 140 with pulmonary rales, 68 with emphysema sign, 81 with liver enlargement and leg edema and 45 with hydrothorax and seroperitoneum. Sixty-two cases were diagnosed with cor pulmonale by EGG, 60 with P pulmonale, 59 presented low voltage of QRS complex in the limb leads, 51 with arrhythmia. Seventy-eight cases were diagnosed with cor pulmonale by color doppler echocardiography. After treatment, 121 cases’ condition improved and 19 cases died. Conclusion As Uygur young adults with PTB complicated with cor pulmonale have atypical symptoms, measures should be implemented for timely detection and standardized treatment to reduce mortality.

Key words: Tuberculosis,pulmonary/complications, Pulmonary heart disease, Young adults, Uygur nationality