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[不同年龄组呼吸器官结核患者的支气管系统病变]

[Lesions of the bronchial system in patients of different age groups with tuberculosis of the respiratory organs].

作者信息

Lavor Z V, Tamashakina G N, Kazakov A F, Staroselets V P

出版信息

Probl Tuberk. 1991(10):22-6.

PMID:1838602
Abstract

The results of bronchological examinations were analysed in 650 patients (between the ages of 1 and 89 years) with tuberculosis of respiratory organs. Three age groups were specified: group I included children and adolescents to 17 years (152 subjects); group II-adults aged 18 to 59 years (408 subjects), and group III--those aged 60 to 89 years (90 subjects). In group I active bronchial tuberculosis was diagnosed in 14.3% of the cases, residual changes after past tuberculosis in 11.1%, nonspecific endobronchitis in 33.3%; the respective figures for group II were 7.1%, 11% and 43.3% and those for group III 20%, 31.1% and 24.4% of the cases. Isolated froms of bronchial tuberculosis account for 0.9% among all clinical froms of tuberculosis of respiratory organs. Nonspecific endobronchitis in cases with tuberculosis of respiratory organs occur in the form of bilateral catarrhal processes. With age catarrhal changes decline from 92.2% to 54.7% and atrophic and hypertrophic bronchial changes increase and amount to 9.2% and 22.3%, respectively. The character of bronchial pathology is determined by the initial forms of tuberculosis.

摘要

对650例(年龄在1至89岁之间)呼吸器官结核患者的支气管检查结果进行了分析。确定了三个年龄组:第一组包括17岁及以下的儿童和青少年(152名受试者);第二组为18至59岁的成年人(408名受试者),第三组为60至89岁的人(90名受试者)。在第一组中,活动性支气管结核的诊断率为14.3%,既往结核后的残留改变为11.1%,非特异性支气管炎为33.3%;第二组的相应数字分别为7.1%、11%和43.3%,第三组分别为20%、31.1%和24.4%。在呼吸器官结核的所有临床类型中,孤立性支气管结核占0.9%。呼吸器官结核病例中的非特异性支气管炎以双侧卡他性病变的形式出现。随着年龄的增长,卡他性改变从92.2%下降到54.7%,萎缩性和肥厚性支气管改变增加,分别达到9.2%和22.3%。支气管病变的特征取决于结核的初始类型。

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