Sedliachek A M
Probl Tuberk. 1990(9):29-31.
The course of pulmonary tuberculosis in 34 women aged over 70 and in 30 women aged 35-55 years as controls was analysed. Tuberculosis in the elderly women was detected more frequently and with rather severe forms of the disease when compared to the control group, thus making them a serious epidemic hazard. It proved possible to conduct treatment of practically all these patients with 4 tuberculostatics. Streptomycin was the least tolerated drug. X-ray pictures in 25 per cent of the cases indicated the presence of the middle-lobe syndrome. Besides, all these subjects were excretors of tubercle bacilli. The similar X-ray picture was seen in nobody in the control group. Though extensive changes in the lungs of the elderly women were found later, the course of their management was similar to that of the control group; all the patients displayed no sputum mycobacteria.
分析了34名70岁以上女性和30名年龄在35 - 55岁之间作为对照组的女性的肺结核病程。与对照组相比，老年女性肺结核的检出率更高，且疾病形式更为严重，因此构成了严重的流行风险。事实证明，几乎所有这些患者都可以用4种抗结核药进行治疗。链霉素是耐受性最差的药物。25%的病例的X光片显示存在中叶综合征。此外，所有这些受试者都是结核杆菌排出者。对照组中无人出现类似的X光片表现。尽管后来发现老年女性肺部有广泛病变，但她们的治疗过程与对照组相似；所有患者痰液中均未检出分枝杆菌。
