结核病死亡59例临床研究.docVIP

结核病死亡59例临床研究[摘要] 目的：对结核病的死亡原因进行分析，采用及时的诊断和有效的治疗措施。方法：通过死亡病例的查阅，对直接死因、并发症、结核病诊治情况进行综合分析。结果：①59例死亡患者中以呼吸循环衰竭、多脏器功能衰竭为多见。②两种以上并发症者55例，占93.2%；继发肺内感染者37例，占62.7%。③死亡病例中50岁以上33例，占55.9%。④以肺结核死亡的59例中复治38例，占64.4%，其中复治涂阳22例，占57.9%。结论：结核病死亡病例大部分病史长，体质差，免疫力低下，并发症多，反复感染，迁延不愈，易致死亡。要切实加强结核病的规范化管理，早期诊断与治疗，积极控制并发症是减少结核病死亡的根本措施。 [关键词] 结核死亡；老年结核；并发症；复治患者 [中图分类号] R52 [文献标识码] B [文章编号] 1674-4721（2011）02（c）-145-02 TB clinical analysis of 59 cases of death WU Hongmei (Yanbian TB Preatmenton and Treatment Reseaech Institute, Jilin Province, Yanji 133000, China) [Abstract] Objective: TB on an analysis of causes of death, to adopt timely diagnosis and effective treatment measures. Methods: Through the deaths of reference, analysed the direct cause of death, complications, diagnosis and treatment ofTB of the situation comprehensively. Results: ①59 deaths in patients with respiratory and circulatory failure, multiple organ failure were more common. ②Two or more complications were 55 cases, accounting for 93.2 percent; secondary pulmonary infection were 37 cases, accounting for 62.7 percent. ③Deats in 33 patients over 50 years old, accounting for 55.9 percent. ④To the death of 59 cases of tuberculosis in re-treated 38 cases, accounting for 64.4 percent, re-treated 22 cases of smear-positive, accounting for 57.9%. Conclusion: Most cases of TB deaths a long history, poor health, lowimmunity, and more complications, repeted infections, protracted course of disease, easily lead to death. To strengthen the standardization of the management of TB, active TB control TB control is to reduce the complications of the death of the fundamentai menasures. [Key words] Tuberculosis deaths; Old tuberculosis; Complications; Complex human disease 全球结核病仍然是传染病的首位杀手，是一种严重危害人们健康的慢性传染病。我国的结核病问题仍很严重，结核病死亡率也很高。因此，对结核病的死亡原因进行分析探讨，使结核患者得到及时的诊断和有效的治疗，减少其死亡率尤为重要。现将1996～2005年本所住院死亡的59例结核患者作如下分析。 1 资料与方法 1.1 一般资料 1996～2005年在本所住院治疗登记的2 494例患者中查出危重患者109例，其中报告登记中查出结核病死亡患者59例，查看每份死亡病例的年龄、性别的构成和直接死亡