结缔组织疾病并发菌阳肺结核33例临床分析

中国防痨杂志 ›› 1999, Vol. 21 ›› Issue (3): 140-141.

结缔组织疾病并发菌阳肺结核33例临床分析

卜建玲；高薇薇；刘红；马屿；

北京市结核病胸部肿瘤研究所 101149；

收稿日期:1998-12-01 修回日期:1999-01-28 出版日期:1999-03-10 发布日期:1999-03-10

Clinical analysis of 33 cases of connective tissue disease co m plicated with infectious pulmonary tuberculosis

Bu Jianling , Gao Weiwei, Liu Hong ,et al .

Beijing Tuberculosis & Thoracic Tu m or Institute , Beijing 101149

Received:1998-12-01 Revised:1999-01-28 Online:1999-03-10 Published:1999-03-10

摘要/Abstract

摘要： 目的分析结缔组织疾病并发肺结核的临床特点?方法回顾性分析1984～1998 年收治的结缔组织疾病并发菌阳肺结核33 例?结果 1 .33 例中的20 例(71.4 % ) 在肺结核发病前较长期服用免疫抑制剂?2 .胸部 X-线表现病变广泛,其中81.8 % 有空洞,66.7 % 伴肺间质改变,69.7 % 伴胸膜增厚?3 .肺结核较易被漏诊或误诊,且预后不良?结论结缔组织疾病患者应警惕肺结核的发生,做到早期诊治,以期取得良好预后?

关键词: 结缔组织疾病, 结核,肺

Abstract: Objective To analyze the clinical characteristics of connective tissue disease complicated with pulmonarytuberculosis. Method To retrospectively analyze 33 cases of connective tissue diseases complicated with infectious pulmonarytuberculosis treated during 1984 ～1998 . Results 1 .71.4 % ofthe patients had along term treatment with im munodepressiondrugs before onset of pulmonary tuberculosis in 33 cases.2 . The disease were extensive in chest X ray examination ,81.8 %with pulmonary cavities,66.7 % with pulmonary interstitialchanges,69.7 % with pleuralthickening .3 . Pulmonary tuberculosiswere easily misdiagnosed and leakdiagnosed ,prognosis were worse . Conclusion We might look out for occurrence of pul monary T Bin patients with connective tissue disease for early diagnosis ?treatment and favourable prognosis.

Key words: Connective tissue disease, Tuberculosis, pulm onary

卜建玲, 高薇薇, 刘红, 马屿, . 结缔组织疾病并发菌阳肺结核33例临床分析[J]. 中国防痨杂志, 1999, 21(3): 140-141.

Bu Jianling , Gao Weiwei, Liu Hong ,et al .. Clinical analysis of 33 cases of connective tissue disease co m plicated with infectious pulmonary tuberculosis[J]. Chinese Journal of Antituberculosis, 1999, 21(3): 140-141.