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目的:探讨肺结核化疗期间出现类赫反应的临床特征和治疗措施。方法:回顾分析20例肺结核化疗期间出现的类赫反应情况。结果:类赫反应发生于痰检阳性和阴性的肺结核初治患者,发生时间均在化疗3个月内,多在2个月内,表现在胸部X线示病灶扩大(增多),或胸水形成,部分出现高热和淋巴结肿大。结论:明确诊断和鉴别诊断,积极应用原方案治疗可取得满意疗效,同时有助于减少医患矛盾。
Objective: To investigate the clinical features and therapeutic measures of hypersensitivity during tuberculosis chemotherapy. Methods: A retrospective analysis of 20 cases of tuberculosis during chemotherapy-like reaction occurred. Results: Class reaction occurred in the sputum positive and negative initial treatment of patients with pulmonary tuberculosis, the time occurred within 3 months of chemotherapy, more than 2 months, the performance of chest X-ray showed focal enlargement (increase), or pleural effusion , Some high fever and swollen lymph nodes. Conclusion: To confirm the diagnosis and differential diagnosis, and actively apply the original plan of treatment can achieve satisfactory results, at the same time help to reduce doctor-patient conflicts.