Palerin V F, Chugaev Iu P, Teriaeva M V
Probl Tuberk. 1995(6):27-9.
263 patients with coniotuberculosis of the intrathoracic lymph nodes were compared clinically according to whether they were or not at 0ccupational risk of silicosis. Patients exposed to quartz dust had some special morphological picture of affected lymph nodes: periadenitis, dust caseosis and tubercula in the presence anthracosilicosis sclerosis. Silicotuberculous broncho-adenitis in silicosis patients is characterized by solitary lesions of the lymph nodes, bronchi, rare dissemination to the lungs. Coniotuberculous broncho-adenitis in elderly subjects arises in the result of occupation-unrelated accumulation in the lymph nodes of coal and quartz dust and runs chronically. Unless the disease is controlled early and actively, it may generalize and aggravate with perforation in the bronchi, vessels and esophagus. Profuse hemorrhage, caverns, atelectasis are also possible.
对263例胸内淋巴结结核患者,根据其是否有矽肺职业风险进行了临床比较。接触石英粉尘的患者,其受累淋巴结有一些特殊的形态学表现:淋巴结周围炎、尘性干酪样变以及在煤矽肺硬化存在的情况下出现结核结节。矽肺患者的矽肺结核性支气管-淋巴结炎的特征为淋巴结、支气管的孤立性病变,很少播散至肺部。老年患者的结核性支气管-淋巴结炎是由于与职业无关的煤尘和石英粉尘在淋巴结中蓄积而引起的,呈慢性病程。除非早期积极控制病情,否则该病可能会扩散并加重,导致支气管、血管和食管穿孔。还可能发生大出血、空洞、肺不张。