Sadykov A S
Probl Tuberk. 1990(7):28-31.
Taking into account the presence of the process development symptoms or their absence (including a high rate of exacerbations, ongoing dissemination process, formation of new cavities in the affected foci, severe infiltration of the lung tissue and massive bacillary excretion), process development rate and the nature of complications, the following 4 versions of fibrous-cavernous pulmonary tuberculosis were identified: rapidly developing disease; slowly developing disease; fibrous-cavernous pulmonary tuberculosis whose clinical picture was determined by different complications; and relatively stable condition. ++Clinico-roentgenological+ features of each version of the disease are described. Abnormalities in the ++clinico-roentgenological+ picture and laboratory findings are especially apparent in patients with rapidly developing fibrous-cavernous pulmonary tuberculosis.
考虑到病程发展症状的存在与否(包括高复发率、持续播散过程、受累病灶出现新空洞、肺组织严重浸润及大量排菌)、病程发展速度及并发症的性质,确定了以下4种纤维空洞型肺结核:快速进展型疾病;缓慢进展型疾病;临床症状由不同并发症决定的纤维空洞型肺结核;以及相对稳定型。描述了每种疾病类型的临床-放射学特征。临床-放射学表现及实验室检查结果的异常在快速进展型纤维空洞型肺结核患者中尤为明显。