Singh Saurabh Kumar, Tiwari Kamlesh Kumar
Assistant Professor, Department of Pulmonary Medicine, Gajra Raja Medical College and Jayarogya Group of Hospitals, Gwalior, Madhya Pradesh, 474009, India.
Professor and Head, Department of Pulmonary Medicine, Gajra Raja Medical College and Jayarogya Group of Hospitals, Gwalior, Madhya Pradesh, 474009, India.
Indian J Tuberc. 2019 Jan;66(1):34-38. doi: 10.1016/j.ijtb.2017.01.009. Epub 2017 Mar 22.
To investigate the demographic and clinico-radiological characteristic of patients of tuberculosis presented with pneumothorax in relation to the patients of active pulmonary tuberculosis.
The retrospective study was conducted between January 2013 to June 2014 and records of 78 patients of pulmonary tuberculosis with pneumothorax (TP) and 156 patients of pulmonary tuberculosis without pneumothorax (NPT) were analyzed. Demographic, etiologic, clinical, radiographic, and outcome data were collected.
The mean age of tuberculous pneumothorax patients was 38.0±14.3 years and that of non-pneumothorax was 39.5±12.3 years. Most common presenting clinical feature was cough (76.9%) followed by dyspnoea (74.4%), chest pain (64.0%) and fever (56.4%) in TP patients. Chest radiograph showed cavity in 38 (48.7%) TP patients followed by consolidation in 32 (41.0%) patients and infiltration in 33 (42.3%) patients. All the TP patients had undergone underwater seal intercostal tube drainage procedure for the management of pneumothorax. The mean duration between chest drain insertion and removal was 17.14±6.37 days. Twenty-five (32.1%) of the cases developed chest tube drainage related complications.
Patients of tuberculous pneumothorax required prolonged period of chest tube drainage and usually showed good response to the treatment.
研究合并气胸的肺结核患者与活动性肺结核患者相比的人口统计学及临床放射学特征。
本回顾性研究于2013年1月至2014年6月进行，分析了78例合并气胸的肺结核患者（TP）和156例未合并气胸的肺结核患者（NPT）的记录。收集了人口统计学、病因学、临床、影像学及转归数据。
结核性气胸患者的平均年龄为38.0±14.3岁，非气胸患者的平均年龄为39.5±12.3岁。TP患者最常见的临床表现为咳嗽（76.9%），其次是呼吸困难（74.4%）、胸痛（64.0%）和发热（56.4%）。胸部X线片显示38例（48.7%）TP患者有空洞，其次32例（41.0%）患者有实变，33例（42.3%）患者有浸润。所有TP患者均接受了胸腔闭式肋间引流术治疗气胸。胸腔引流管置入与拔除之间的平均时间为17.14±6.37天。25例（32.1%）患者出现了与胸腔引流管相关的并发症。
结核性气胸患者需要较长时间的胸腔引流管引流，且通常对治疗反应良好。
