Tomoda K, Yoneda T, Ako H, Yoshida E, Sugahara T, Konishi M, Tsukaguchi K, Tokuyama T, Yoshikawa M, Narita N
Second Department of Internal Medicine, Nara Medical University, Japan.
Kekkaku. 1992 Dec;67(12):761-5.
Three young adults advanced pulmonary tuberculosis due to delay of therapy were reported. In case 1 and 3, their delays resulted from difficulty in diagnosis, in case 2, from neglecting medical counseling. Each cases revealed bilateral diffuse shadows on chest roentgenograms on admission, which were typical shadows of advanced pulmonary tuberculosis. Malnutrition might contribute to the development of the diseases, which were improved by anti-tuberculosis therapy and hyperalimentation therapy. These cases were suggested some clinical problems characteristic of pulmonary tuberculosis of young adults.
报告了3例因治疗延误导致的青年成人晚期肺结核病例。在病例1和病例3中,延误是由于诊断困难,在病例2中,延误是由于忽视医疗咨询。每例患者入院时胸部X线片均显示双侧弥漫性阴影,这是晚期肺结核的典型阴影。营养不良可能促使疾病发展,通过抗结核治疗和营养支持治疗后病情有所改善。这些病例提示了青年成人肺结核的一些临床特征。