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泰国患者支气管扩张症的临床、实验室检查结果及微生物学特征

Clinical, laboratory findings and microbiologic characterization of bronchiectasis in Thai patients.

作者信息

Palwatwichai Apirak, Chaoprasong Chutima, Vattanathum Anan, Wongsa Adisorn, Jatakanon Anon

机构信息

Division of Pulmonary, Department of Medicine, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand.

出版信息

Respirology. 2002 Mar;7(1):63-6. doi: 10.1046/j.1440-1843.2002.00367.x.

Abstract

OBJECTIVE

The aim of the present study was to characterize the clinical features, underlying disease states, laboratory findings and microbiological characterization of bronchiectasis in Thai patients.

METHODOLOGY

For a 2-year period all consecutive patients diagnosed with bronchiectasis at Phramongkutklao Hospital, Bangkok, Thailand, were recruited. Data including history, physical examination, underlying disease and laboratory studies were carefully reviewed and recorded.

RESULTS

Fifty patients diagnosed with bronchiectasis were enrolled. Their mean age was 58 years. The most common background aetiology was tuberculosis. Six per cent of the patients were diagnosed as having diffuse panbronchiolitis. Normal chest radiographs were found in 10%. The common organisms isolated were Pseudomonas aeruginosa (20%), Haemophilus influenzae (14%), Klebsiella pneumoniae (14%) and Streptococcus pneumoniae (6%). Non-tuberculous mycobacteria which included Mycobacterium kansasii and Mycobacterium chelonae were found in 6%.

CONCLUSION

We report the characteristics of bronchiectasis in Thai patients. The most common identifiable aetiology was tuberculosis.

摘要

目的

本研究旨在描述泰国患者支气管扩张的临床特征、基础疾病状态、实验室检查结果及微生物学特征。

方法

在泰国曼谷的诗里蒙告医院,对连续2年诊断为支气管扩张的所有患者进行招募。仔细回顾并记录包括病史、体格检查、基础疾病和实验室检查在内的数据。

结果

纳入50例诊断为支气管扩张的患者。他们的平均年龄为58岁。最常见的背景病因是结核病。6%的患者被诊断为弥漫性泛细支气管炎。10%的患者胸部X线片正常。分离出的常见病原体为铜绿假单胞菌(20%)、流感嗜血杆菌(14%)、肺炎克雷伯菌(14%)和肺炎链球菌(6%)。发现6%的患者感染了包括堪萨斯分枝杆菌和龟分枝杆菌在内的非结核分枝杆菌。

结论

我们报告了泰国患者支气管扩张的特征。最常见的可识别病因是结核病。

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