Clinical analysis of 349 cases of elderly patients with pulmonary tuberculosis
It complications in 29 cases (8.3%). These underlying diseases, especially diabetes, may be important risk factors that lead to old tuberculosis. Discuss TB is still common in China in recent years, epidemiological data indicate that the incidence of tuberculosis is rising, and to aging, is one of the priorities of TB control. Therefore, to analyze and grasp the elderly TB clinical features of early diagnosis, reduce misdiagnosis have important significance. The retreatment large proportion of patients seen from Table 1, 349 cases of elderly patients with pulmonary tuberculosis, there are 203 cases of retreatment cases, accounting for 58.2%. The reason, on the one hand, elderly tuberculosis patients tissues and organs of aging, functional decline, mild symptoms of Tuberculosis, also slow onset, longer duration, initial treatment the cure rate is low; the other hand, due to tuberculosis in young and middle-aged period, lack of awareness of TB,
Abercrombie vente, not with the treatment, making tuberculosis and delayed healing, and continued to old age, resulting in the clinical findings of old age many times repeated retreatment, which is leading to the elderly prevalence rate in the high, one important factor. Therefore, the beginning of the treatment of elderly tuberculosis, we must first grasp the rule that hurdle, not like young people in tuberculosis, as a relatively unified model, according to individual circumstances vary from person to person, choose safe, effective and appropriate solutions; detailed history, strict distinction between the beginning of retreatment for the development of appropriate chemotherapy to provide a basis. Second, patients with high rate of multidrug resistance of multidrug-resistant tuberculosis (MDR-TB) is a problem in TB control in the clinical treatment of very delicate. Seen from Table 2, in 349 cases of elderly patients with pulmonary tuberculosis, MDR-89 cases, total cases,
north face online shop, 25.5%, accounting for 43.6% of smear-positive cases. Elderly patients with tuberculosis MDR-higher rate of formation of the original plug Medical Hall Q95 26 4 There are many, mainly during the initial treatment of dissatisfaction with treatment withdrawal, and poor compliance of the majority of older persons unwilling to accept the law of chemotherapy,
ugg prezzo, often feel self-interruption of treatment improves. Therefore, the chemotherapy and management of elderly tuberculosis, should enhance early detection of elderly tuberculosis patients, and the implementation of short-course chemotherapy (DOTS) under the direct supervision, it is the key to control TB and prevent or reduce multi-drug resistant tuberculosis occurred r. More complications, diagnosis is difficult due to the elderly physiological dysfunction, immune dysfunction,
ugg online, lowered immunity, often complicated by a variety of diseases, 349 cases of this group of elderly tuberculosis patients to rule out other diseases and confirm the diagnosis. Common with secondary lung infection, pulmonary heart disease, respiratory insufficiency, diabetes, cardiovascular disease, and heart, liver, renal insufficiency, and so on. In addition, most elderly TB clinical manifestations are not typical, is difficult to diagnose, easily missed diagnosis, misdiagnosis _5J. To reduce the incidence of missed diagnosis and misdiagnosis in clinical practice should pay attention to the following questions: when asked about the history, learn more about the patient's underlying disease and unexplained anemia, malnutrition and other medical history; elderly chronic cough, cough sputum, anti-inflammatory treatment of the poor more than two weeks should be promptly chest x-ray examination and repeated sputum acid-fast bacilli; delayed healing of the merged in patients with chronic obstructive pulmonary disease should have regular chest X-ray examination; To further confirm the diagnosis if necessary to do a chest CT and fiberoptic bronchoscopy; It is worth noting that the diabetic patient is a high risk of tuberculosis in recent years elderly diabetic and elderly tuberculosis showed an upward trend, this paper has a history of diabetes, 61 cases (17.5%), response to elderly patients with diabetes should be regular physical examination, chest X-ray examination at least a year. In summary, for elderly patients, especially patients with underlying diseases should be vigilant in the treatment of primary disease, you should consider the possible combined with other diseases, especially tuberculosis possible. Sputum smear Mycobacterium tuberculosis check should be included in the routine examination
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