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[慢性呼吸系统疾病患者支气管肺系统复发性结核病的临床X线特征]

[Clinical x-ray characteristics of recurrent tuberculosis of the bronchopulmonary system in patients with chronic respiratory diseases].

作者信息

Svistunova A S, Sokolov V N, Bogdanov L N

出版信息

Ter Arkh. 1987;59(7):69-71.

PMID:3672364
Abstract

X-ray and clinical features of tuberculosis combined with lingering pneumonia were studied in 110 patients of the 7th group of dispensary registration suffering from chronic diseases of the respiratory organs. Tuberculosis recurrences in this group of patients had a torpid course, specific changes were slowly reversed, noticeable fibrosis was formed on their site. Thorough x-ray tomographic investigation not only of the pneumonia zone but also of the zone of posttubercular changes was conducted at the onset and end of pneumonia therapy to exclude tuberculosis reactivation. Frequent exacerbations of chronic diseases of the respiratory organs including complications in the form of lingering pneumonia in patients with posttubercular changes can mask early stages of tuberculosis reactivation.

摘要

对110例在第七组药房登记的患有慢性呼吸器官疾病的患者,研究了肺结核合并迁延性肺炎的X线及临床特征。该组患者的结核复发病程隐匿,特异性改变缓慢消退,在其部位形成明显纤维化。在肺炎治疗开始和结束时,不仅对肺炎区域,而且对结核后改变区域进行了全面的X线断层检查,以排除结核再激活。呼吸器官慢性疾病的频繁加重,包括结核后改变患者出现迁延性肺炎形式的并发症,可掩盖结核再激活的早期阶段。

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