Sedlaczek A M
Kliniki Chorób Płuc i Gruźlicy Pomorskiej Akademii Medycznej w Szczecinie.
Pneumonol Pol. 1990 Apr-May;58(4-5):210-4.
The course of pulmonary tuberculosis was analyzed in 34 females older than 70 years and 30 women, age range 35-55 years (mean 43.8 yrs) treated between 1.01.1985 and 31.12.1988 in the Pulmonological Department of the Szczecin Medical Academy. Pulmonary tuberculosis in females aged more than 70 years was diagnosed basing mainly on clinical grounds (82%), positive sputum (88%) and advanced radiological changes. In 25% evidence of the middle lobe syndrome was found--all sputum positive. In the control group such findings were not seen. In almost all patients of this group 4 drug therapy was instituted. Streptomycin was tolerated the poorest. The therapeutical course was similar in both groups. Pulmonary tuberculosis in the studied group was usually diagnosed in the advanced stage. The population of females of 70 years and older is an important epidemiological risk factor.
对1985年1月1日至1988年12月31日期间在什切青医学院肺病科接受治疗的34名70岁以上女性和30名年龄在35至55岁（平均43.8岁）的女性的肺结核病程进行了分析。70岁以上女性的肺结核主要根据临床症状（82%）、痰菌阳性（88%）和明显的放射学改变来诊断。25%的患者发现有中叶综合征——所有痰菌均为阳性。对照组未发现此类情况。该组几乎所有患者都采用了四联药物治疗。链霉素耐受性最差。两组的治疗过程相似。研究组的肺结核通常在晚期被诊断出来。70岁及以上的女性人群是一个重要的流行病学危险因素。
