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本文根据临床和X线表现,对我院1972-1986年间收治的47例煤矽肺结核进行临床分析,并对其诊断标准作初步探讨。一、临床资料:本组均为41-72岁之男性。其中Ⅰ期6例,Ⅱ期17例,Ⅲ期24例;分离型14例(Ⅰ期6期,Ⅱ期8例),结合型33例(Ⅱ期9例,Ⅲ期24例)。随机抽样无矽肺结核X线表现Ⅰ期6例,Ⅱ期19例,Ⅲ期20例,与矽肺结核组行临床对比。分离型经S.H.P 1-2疗程后,X线表现为纤维硬结或钙化,全部治疗:结合型经R.S.H.E规则化疗1-3个疗程后,恶化23例(70%),稳定10例(30%),死亡14例(病死率30%) 二、分析讨论: (一)分离型的经化疗后全部临床治疗,说明只要治疗及时,预后较好;结合型的由于矽结节周围
Based on the clinical and X-ray findings, 47 cases of coal-silicotic pulmonary tuberculosis admitted in our hospital from 1972 to 1986 were analyzed and their diagnostic criteria were discussed. First, the clinical data: This group are 41-72-year-old man. There were 6 cases of stage Ⅰ, 17 cases of stage Ⅱ and 24 cases of stage Ⅲ. There were 14 cases of type Ⅰ (stage 6, stage Ⅱ, 8 cases) and 33 cases of stage Ⅱ (stage Ⅱ, stage Ⅲ, stage 24). Random sampling of non-silicosis tuberculosis Ⅰ stage in 6 cases, 19 cases of stage Ⅱ, 20 cases of stage Ⅲ, and silicosis tuberculosis group clinical comparison. After treatment with SHP for 1-2 cycles, the X-ray showed fibrosis or calcification. All the treatments were cured: 23 cases (70%) were exacerbated and 10 cases (30%) were stable after 1-3 cycles of RSHE regimen. , 14 cases of death (mortality rate 30%) Second, the analysis and discussion: (A) of all the clinical treatment after chemotherapy, indicating that as long as the timely treatment, the prognosis is good; combined type due to the surrounding silicon nodules