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目的了解非结核分枝杆菌(NTM)肺病的临床特征以提高诊疗水平。方法收集天津市海河医院2014年1月-2016年2月收治的NTM肺病患者52例,全部符合NTM肺病的诊断标准。对确诊的NTM肺病的临床资料进行回顾分析。结果发病年龄以中老年为主占75.0%,病变范围广、多累及肺中叶(82.7%)及舌段(76.9%),多见支气管扩张(51.9%)和薄壁空洞(40.4%)。主要症状为咳嗽、咳痰,可伴发热、痰中带血等。结论 NTM肺病的临床特征无特异性,病程长,常规抗痨疗效差,应尽早鉴别确诊。
Objective To understand the clinical features of non-tuberculosis (NTM) pulmonary disease to improve the diagnosis and treatment. Methods Totally 52 NTM patients were admitted to Tianjin Haihe Hospital from January 2014 to February 2016, all of which met the diagnostic criteria of NTM lung disease. The clinical data of the diagnosed NTM lung were retrospectively analyzed. Results The age of onset was mainly middle - aged and elderly, accounting for 75.0%. The lesions ranged widely with multiple lung involvement (82.7%) and tongue segment (76.9%). Bronchiectasis (51.9%) and thin - walled cavity (40.4%) were common. The main symptoms are cough, sputum, may be associated with fever, bloody sputum and so on. Conclusion The clinical features of NTM are nonspecific and have a long course of disease. The curative effect of conventional anti-tuberculosis is poor. Diagnosis should be made as soon as possible.