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尸检材料中临床未识别的结核病(作者译)

[Clinically unrecognised tuberculosis in autopsy material (author's transl)].

作者信息

Post C, Wartenhorst H S

出版信息

Dtsch Med Wochenschr. 1979 Mar 30;104(13):461-6. doi: 10.1055/s-0028-1103929.

Abstract

Among 18,724 unselected postmortems performed between 1955 and 1975 811 (4.33%) cases of post-primary tuberculosis were found among which 370 (45.6%) were active and 441 (54.4%) inactive. Occurrence of death involved tuberculosis in 32% of all cases discovered at autopsy. The age group over 50 years was mainly affected and males were clearly more frequently involved, particularly in pulmonary tuberculosis. 333 cases of tuberculosis (41.1%) had been recognised clinically and had mainly consisted of chronic pulmonary forms. In the older age group the proportion of cases diagnosed prior to death decreased steadily. Tuberculosis was associated with other diseases in most patients, particularly with cardiovascular disease and malignant tumours. During the investigation period the number of patients with active tuberculosis decreased. The number of cases of miliary tuberculosis among the active forms remained approximately the same.

摘要

在1955年至1975年间进行的18724例未经挑选的尸检中,发现811例(4.33%)原发性肺结核病例,其中370例(45.6%)为活动性病例,441例(54.4%)为非活动性病例。尸检发现的所有病例中,32%的死亡与结核病有关。50岁以上年龄组受影响最为严重,男性明显更易患病,尤其是肺结核。333例(41.1%)结核病患者在临床上已得到确诊,主要为慢性肺部疾病。在老年组中,死前确诊病例的比例稳步下降。大多数患者的结核病与其他疾病有关,尤其是心血管疾病和恶性肿瘤。在调查期间,活动性肺结核患者数量减少。活动性病例中粟粒性结核病例数基本保持不变。

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