Burukhina L V, Peleneva I M, Efimova N S, Zhdakaev M S, Perminova I V
Probl Tuberk. 2003(2):41-3.
The relationship between the efficiency of treatment and the nature of morphological changes in the lung was studied in 125 patients with pulmonary tuberculosis without X-ray signs of pneumoconiosis who worked at coniosis-risk enterprises (CRR). Despite adequate specific and pathogenetic therapy, tuberculomas formed and decay cavities preserved in the patients, in this connection they had surgical treatment. Three types of morphological changes were identified. Quartz-containing industrial dust was found to exert an adverse potentiating effect on the course of tuberculosis in most CRE patients: increases in the delimiting a specific process of respiratory disorders and postoperative complications. These specific features should be borne in mind in drawing up a treatment protocol for patients working exposed to industrial dust.
对125名在尘肺病风险企业（CRR）工作、无尘肺病X线征象的肺结核患者，研究了治疗效果与肺部形态学变化性质之间的关系。尽管进行了充分的特异性和病因治疗，但患者体内仍形成了结核瘤且残留空洞，因此他们接受了手术治疗。确定了三种类型的形态学变化。发现含石英的工业粉尘对大多数CRR患者的结核病进程具有不良的增强作用：加剧了呼吸障碍和术后并发症的特定进程。在为接触工业粉尘的患者制定治疗方案时，应牢记这些特殊特征。
