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现将我院收治的18例肝硬化合并肺结核患者的资料整理如下,希望对结核病临床工作有所裨益。 1 临床资料 1.1 诊断标准 1.1.1 肺结核诊断标准 18例患者中痰涂片阳性11例,另7例均有比较典型的X线表现和结核病临床表现,经治疗观察排除非结核病变。 1.1.2 肝硬化诊断标准 ①肝脏质地坚硬,伴有肝掌或蜘蛛痣。②有腹水漏出液性质。③低蛋白血症A/G倒置。④胆红素>1.1mg％或黄疸指数≥8u单位。⑤肝絮浊试验和ALT中1项或2项异常。以上第一条必备,其它至少有2项相符。 1.2 一般资料 18例中男15例,女3例,年龄38～67岁,平均51.2岁。入本院前已确诊肝硬化者16例,入院后检查肝硬化者2例。①肺结核类型:浸润型15例,2例肺结核并胸膜炎,慢性纤维空洞型肺结核1例,初治14例,复治4例。②肝硬化原因:肝炎后肝硬化13例占
Now 18 cases of patients with cirrhosis and tuberculosis admitted to our hospital are organized as follows, hoping to benefit the clinical work of tuberculosis. 1 Clinical data 1.1 diagnostic criteria 1.1.1 diagnostic criteria for tuberculosis in 18 patients sputum smear positive in 11 cases, and the other seven cases have a more typical X-ray findings and clinical manifestations of tuberculosis, the treatment of non-tuberculosis lesions were excluded. 1.1.2 cirrhosis diagnostic criteria ① liver texture hard, accompanied by liver palms or spider nevus. ② ascites leakage of liquid properties. ③ hypoproteinemia A / G inversion. ④ bilirubin> 1.1mg% or jaundice index ≥ 8u units. ⑤ liver flocculation test and ALT in 1 or 2 abnormalities. Above the first one is essential, other at least two match. 1.2 General Information 18 males in 15 cases, 3 females, aged 38 to 67 years, mean 51.2 years. Into the hospital has been diagnosed with cirrhosis in 16 cases, 2 cases of liver cirrhosis after admission. ① type of tuberculosis: infiltration in 15 cases, 2 cases of tuberculosis and pleurisy, chronic fibrous cavitary tuberculosis in 1 case, initial treatment in 14 cases, retreatment in 4 cases. ② cirrhosis causes: hepatitis cirrhosis in 13 cases