论文部分内容阅读
目的探讨胃肠道恶性肿瘤合并肺结核患者的治疗。方法总结17例合并肺结核的胃肠道恶性肿瘤患者的临床资料。结果本组12例活动性肺结核患者,其中11例术前2周及术后予正规的抗结核治疗后均能安全渡过围手术期;1例术后第8天死于呼吸功能衰竭。有6例完成6个月的化疗,无结核扩散表现。5例非活动性肺结核患者术前未服用抗结核药物;有1例在术后第3个月化疗时出现结核复发。结论合并肺结核的胃肠道恶性肿瘤患者经过正确的处理,可限期手术并进行进一步治疗。
Objective To investigate the treatment of patients with gastrointestinal malignancies complicated with pulmonary tuberculosis. Methods The clinical data of 17 patients with gastrointestinal cancer with pulmonary tuberculosis were summarized. Results In this group of 12 patients with active pulmonary tuberculosis, 11 patients underwent perioperative period safely after 2 weeks of preoperative and postoperative formal anti-TB treatment; 1 patient died of respiratory failure on the 8th day after operation. 6 patients completed 6 months of chemotherapy, no performance of tuberculosis proliferation. 5 cases of non-active pulmonary tuberculosis patients did not take anti-TB drugs before surgery; 1 case of tuberculosis recurrence after the first 3 months of chemotherapy. Conclusions Patients with gastrointestinal malignancies complicated with tuberculosis can be treated on a timely basis and further treated if they are properly treated.