The old man watches out for _'s general knowledge of pulmonary tuberculosis

The old man watches out for _'s general knowledge of pulmonary tuberculosis
The tuberculosis epidemiology investigation result reveals, except that teenagers' tuberculosis has illness coming on high, the elderly 60-70 years old also present and have illness coming on the peak. One reason its whether the intersection of old person and immunological function drop, in addition the elderly amalgamate lung and the intersection of whole body and the intersection of and disease grant, cause person who hide or outmoded the intersection of venereal disease and afterburning of cooking stove. Second, present the elderly, is exactly that tuberculosis prevail in the most rampant times in history of our country in teenagers period, the overwhelming majority is infected by the tuberculosis, but not had illness coming on. When entering the old age, the organism immunological function drops, make tuberculosis recur; Also have some old tuberculosis to have illness coming on at the teenagers, until historical terms restrain from at that time, have not got the regular and prompt treatment, has recured by the old age. Third, aging population, old the intersection of population and rate increase, make old tuberculosis form than increase.
Old pulmonary tuberculosis has the following clinical characteristics: First, symptom is not typical, lack typical tuberculosis symptom, such as low-heat, night sweating, cough, expectoration, becoming thin,etc.. Second, amalgamate disease more, often amalgamate other chronic lung disease, or whole body chronic disease. Third, the recuring rate is high, reply the example of curing the disease more. There is the material that reports 75% in pulmonary tuberculosis patient over 50 in order to reply the example of curing the disease. Fourth, cure difficult mortality to be high, quite a few of old pulmonary tuberculosis, suffer from pulmonary tuberculosis, treat or treat thorough irregular forming chronic disease previously, in addition the elderly low failing, amalgamating the intersection of disease and many the intersection of grade and reason by the intersection of internal organs and function immunological function have, having increased and treated the difficulty greatly, the cure rate is low, and mortality is high. Someone reports the mortality of old pulmonary tuberculosis accounts for 47% of the total mortality of pulmonary tuberculosis over 60. Fifth, the misdiagnosing rate is high. Not typical because of old pulmonary tuberculosis and patient's symptom, lack tuberculosis and is poisoned symptom and physical sign, so the misdiagnosing rate of old pulmonary tuberculosis is high, there is misdiagnosing rate of materials reports that reaches 65%.
Because old pulmonary tuberculosis has the five clinical characteristics, the elderly should pay special attention to the diagnosis in early days of tuberculosis, especially pay attention to the inspection of the tubercle bacillus of phlegm. The therapeutic principle of the old tuberculosis, should follow the chemotherapy principle of tuberculosis, early, unite, right amount of, law, whole journey too. Because of the physilogical characteristic of the old age, when the elderly employ antituberculotic, especially should pay attention to the kidney toxicity, liver toxicity and ear toxicity of the medicine.
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