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目的探讨老年慢性阻塞性肺疾病(COPD)合并肺结核的临床特点及治疗反应特点。方法对我科2005年10月至2010年4月收治的老年COPD合并肺结核127例患者的临床资料进行分析,并以感染科非老年结核病患者50例为对照组,总结老年COPD合并肺结核患者的症状、体征、辅助检查、影像学及对治疗反应的特点。结果老年COPD合并肺结核患者在症状、体征、辅助检查、影像学及对治疗的反应方面皆有其独有的特点。结论充分了解这些特点有利于减少老年COPD合并肺结核的误诊和漏诊,提高这些患者的诊疗效果,减少不良反应,提高生存质量和生存期。
Objective To investigate the clinical features and therapeutic response of elderly patients with chronic obstructive pulmonary disease (COPD) complicated with pulmonary tuberculosis. Methods The clinical data of 127 elderly patients with COPD complicated with tuberculosis who were admitted to our department from October 2005 to April 2010 were analyzed. Fifty patients with non-elderly tuberculosis in the infection group were used as the control group to summarize the symptoms of COPD patients with pulmonary tuberculosis , Signs, auxiliary examination, imaging and response to treatment. Results Elderly COPD patients with pulmonary tuberculosis had their own unique characteristics in the aspects of symptoms, signs, auxiliary examination, imaging and response to treatment. Conclusion Understanding these characteristics is good for reducing the misdiagnosis and misdiagnosis of elderly patients with COPD complicated with pulmonary tuberculosis, improving the diagnosis and treatment of these patients, reducing the adverse reactions, and improving the quality of life and survival.