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目的探讨老年肺结核合并肺癌的临床特点。方法回顾性分析 90例老年肺结核合并肺癌患者的临床特点及治疗与转归。结果患者平均年龄 6 8.2岁。临床表现以刺激性咳嗽、咯血、进行性气短、胸痛、消瘦为主。影像学多表现为肺结核病变与团块并存 ,部分病例表现为陈旧性肺结核病灶基础上出现团块或结节状阴影 ,容易造成漏诊或误诊。结论老年肺结核患者应高度警惕肺癌发生 ,定期复查X线胸片 ,做到早期诊断 ,早期治疗。
Objective To investigate the clinical features of elderly patients with pulmonary tuberculosis complicated with lung cancer. Methods The clinical features, treatment and prognosis of 90 elderly patients with pulmonary tuberculosis and lung cancer were retrospectively analyzed. Results The mean age of patients was 6 8.2 years. Clinical manifestations to irritating cough, hemoptysis, progressive shortness of breath, chest pain, weight loss based. Radiological manifestations of tuberculosis and clumps and coexist, in some cases the performance of old tuberculosis lesions on the basis of clumps or nodular shadow, easily lead to missed diagnosis or misdiagnosis. Conclusion Elderly patients with pulmonary tuberculosis should be highly vigilant lung cancer, regular review of X-ray, so early diagnosis and early treatment.