Sadykov A S, Ageev F F, Greĭmer M S, Strepetova T N, Korovina O V
Probl Tuberk. 1995(5):34-6.
In healed tuberculosis, pneumonia more frequently arises in the zones of pronounced residual changes. In active tuberculosis combination of tuberculosis with pneumonia often takes place in intact bronchopulmonary segments. Pneumonia in tuberculous patients takes a lingering course in the presence of pneumosclerotic changes in the lungs, tends to acquire bronchial forms, is characterized by slow involution of inflammation, runs atypically in combination of pneumosclerotic changes in the lungs, bronchial stenoses and abnormal cell composition of bronchoalveolar washout. The diagnosis and treatment present difficulties in pneumonia location in the zone of distinct post-tuberculous pneumosclerosis with small segmental lesion. Resolution of inflammatory foci in the lungs in lingering pneumonia may course as long as 8-10 weeks.
在愈合的肺结核中，肺炎更常发生在有明显残留改变的区域。在活动性肺结核中，肺结核与肺炎的合并常常发生在完整的支气管肺段。结核患者的肺炎在肺部存在肺硬化改变时病程迁延，倾向于呈现支气管型，其特点是炎症消退缓慢，在合并肺部肺硬化改变、支气管狭窄和支气管肺泡灌洗细胞成分异常时表现不典型。对于位于明显的结核后肺硬化区域且有小的节段性病变的肺炎，诊断和治疗存在困难。迁延性肺炎中肺部炎症病灶的消散可能长达8至10周。
