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沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学医院患者的结核病谱。

The spectrum of tuberculosis among patients of the King Abdul Aziz Unveristy Hospital, Jeddah, Saudi Arabia.

作者信息

Qari Faiza A

机构信息

Medical Department, KAUH, Jeddah, Saudi Arabia.

出版信息

Southeast Asian J Trop Med Public Health. 2002 Jun;33(2):331-7.

Abstract

A retrospective study, reviewing the medical records of 157 patients with a final diagnosis of tuberculosis on discharge, was conducted at King Abdul Aziz University Hospital during the period July 1999 to July 2001. The data included demographic characteristics, the spectrum of clinical presentations, diagnostic methods, and the outcome of treatment. A total of 157 patients were admitted with tuberculosis; their median age was 33(+/- 15.33) years. Fifty-seven (36%) were Saudis and 100 (64%) were non-Saudis. Pulmonary tuberculosis and pleural effusion were the commonest presentations (37.6%). Diagnosis was confirmed in most cases by either a positive sputum smear for AFB or by pleural biopsy; in five patients the diagnosis was made on clinical grounds and pleural fluid analysis. There was a wide spectrum of extra-pulmonary tuberculosis, diagnosed histologically except in five cases, in which treatment was started empirically based on high clinical suspicion and a strongly positive tuberculin test.

摘要

1999年7月至2001年7月期间,在阿卜杜勒·阿齐兹国王大学医院进行了一项回顾性研究,该研究回顾了157例出院时最终诊断为结核病患者的病历。数据包括人口统计学特征、临床表现范围、诊断方法和治疗结果。共有157例结核病患者入院;他们的中位年龄为33岁(±15.33岁)。57例(36%)为沙特人,100例(64%)为非沙特人。肺结核和胸腔积液是最常见的表现(37.6%)。大多数病例通过痰涂片抗酸杆菌阳性或胸膜活检确诊;5例患者根据临床情况和胸腔积液分析确诊。肺外结核表现多样,除5例经组织学诊断外,其余病例均根据高度临床怀疑和结核菌素试验强阳性经验性开始治疗。

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