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目的探讨老年慢性阻塞性肺疾病(COPD)患者合并活动性肺结核的临床诊断和治疗措施。方法回顾性分析23例年龄≥65岁的COPD合并活动性肺结核患者的临床资料。结果老年COPD合并肺结核患者临床症状及影像学检查结果均缺乏典型性表现,临床极易发生漏诊、误诊,经个体化治疗后,所有患者均好转出院。结论老年COPD患者合并肺结核时极易发生误诊、漏诊,应加以重视并采取有效的诊治措施。
Objective To investigate the clinical diagnosis and treatment of active pulmonary tuberculosis in elderly patients with chronic obstructive pulmonary disease (COPD). Methods The clinical data of 23 patients with COPD complicated with active pulmonary tuberculosis who were over 65 years old were retrospectively analyzed. Results The clinical symptoms and imaging findings of elderly patients with COPD complicated by pulmonary tuberculosis were lack of typical performance. The patients were easily missed diagnosis and misdiagnosis. After individualized treatment, all patients were well discharged. Conclusions Misdiagnosis and missed diagnosis in elderly patients with COPD complicated by pulmonary tuberculosis should be paid more attention and effective diagnosis and treatment measures should be taken.