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目的 :提高对老年肺结核的认识。方法 :分析 10 2例老年肺结核的临床资料特点。结果 :①临床症状主要是咳嗽、乏力和饮食下降 ,常无明显的盗汗、发热和咯血等表现 ;②X胸片示 :5 2例 ( 5 0 97%)有陈旧性钙化灶 ;3 0例 ( 2 9 41%)病灶在中下肺野 ;③痰涂片找抗酸杆菌的阳性率 ( 2 2 5 5 %)和痰培养的阳性率 ( 2 6 3 2 %)都很低 ;④结核菌素 (PPD)试验的阳性率 ( 2 1 5 6%)也很低。结论 :老年肺结核患者的临床症状无结核病的特异性表现 ,易漏诊、误诊 ,临床医师应充分重视 ,认识老年肺结核这一疾病
Objective: To raise awareness of senile pulmonary tuberculosis. Methods: The clinical data of 102 cases of elderly pulmonary tuberculosis were analyzed. Results: ① The main clinical symptoms were cough, fatigue and decreased diet, often without obvious night sweats, fever and hemoptysis; ②X chest radiograph showed 52 cases (5097%) with old calcification; 30 cases ( 2 9 41%) were found in the middle and lower lung field. (3) The positive rate of sputum smear finding acid fast bacilli (2 25 5%) and sputum culture positive rate (26 36%) were very low. (4) The positive rate of prime (PPD) test (21 5 6%) was also low. Conclusion: The clinical symptoms of elderly patients with tuberculosis have no specific manifestation of tuberculosis, which is easy to misdiagnosis and misdiagnosis. Clinicians should pay full attention to this disease and recognize the disease of senile pulmonary tuberculosis