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目的:探讨老年肺结核合并大咯血患者的治疗方法与预后。方法:老年肺结核大咯血患者100例根据治疗方法的不同分为观察组与对照组各50例,对照组给予药物保守治疗,观察组给予血管内栓塞治疗。结果:观察组的预后有效率为98.0%,对照组为86.0%,组间对比差异明显(P<0.05)。在治疗过程中,观察组出现胸痛3例,发热2例;对照组出现胸痛4例,发热1例。给予对症处理后缓解,两组并发症对比差异无统计学意义(P>0.05)。结论:本地区老年肺结核病患者耐药情况不容乐观,相对于药物保守治疗,对合并大咯血患者血管内栓塞治疗能取得更好的效果,安全性也比较好,值得推广应用。
Objective: To investigate the treatment and prognosis of elderly patients with pulmonary tuberculosis and massive hemoptysis. Methods: One hundred cases of elderly patients with pulmonary tuberculosis and hemoptysis were divided into observation group and control group according to the different treatment methods. The control group was given conservative treatment and the observation group was given endovascular embolization. Results: The effective rate of prognosis was 98.0% in the observation group and 86.0% in the control group, with significant difference (P <0.05). In the course of treatment, there were 3 cases of chest pain and 2 cases of fever in the observation group; 4 cases of chest pain and 1 case of fever in the control group. Symptomatic treatment to give relief, the comparisons between the two groups showed no significant difference (P> 0.05). Conclusion: The resistance of elderly patients with pulmonary tuberculosis in the region is not optimistic. Compared with conservative treatment, endovascular embolization in patients with massive hemoptysis can achieve better results and safety, which is worthy of promotion and application.