4例结核病相关重症患者的诊治体会

doi:10.3969/j.issn.1000-8535.2022.03.015

广州医药 ›› 2022, Vol. 53 ›› Issue (3): 62-65.DOI: 10.3969/j.issn.1000-8535.2022.03.015

4例结核病相关重症患者的诊治体会

康怡¹, 傅满姣¹, 邓平²

1 南华大学附属长沙中心医院结核重症科(长沙 410004)
2 南华大学附属长沙中心医院结核病诊疗中心(长沙 410004)

收稿日期:2021-10-23 发布日期:2022-07-01
通讯作者: 邓平,E-mail:1229015862@qq.com
基金资助:
长沙市科技计划项目(kq1907019)

Diagnosis and treatment of 4 severe tuberculosis-related cases

KANG Yi¹, FU Manjiao¹, DENG Ping²

1 Department of Severe Tuberculosis, Changsha Central Hospital, Changsha 410004, China
2 Tuberculosis Center, Changsha Central Hospital Affiliated to Nanhua University, Changsha 410004, China

Received:2021-10-23 Published:2022-07-01

摘要/Abstract

摘要： 目的探讨结核病相关重症患者的诊治特点,提高此类疾病的诊治水平。方法回顾性分析2020年7月—8月我科收住的4例临床表现类似的结核病相关重症患者的临床资料。结果 4例患者均诊断为活动性结核病或结核潜伏感染,均为合并1个或多个器官功能衰竭的重症患者,均表现为发热、血小板减少、肝肾损伤,经予以个体化的积极抢救治疗,均获得满意疗效。结论结核病相关重症患者往往病情复杂危重,可能临床特点相似,但实际病因不同,因而治疗重点各异,需临床医生认真剖析病情,找到关键病因,以尽量挽救患者生命。

关键词: 发热, 血小板减少, 肝肾损伤, 结核病相关重症患者

Abstract: Objective To explore the characteristics of diagnosis and treatment of severe tuberculosis-related patients and improve diagnosis and treatment of such diseases. Methods Retrospectively analyzed the clinical data of 4 severe tuberculosis-related patients with similar clinical symptoms admitted to our department from July to August, 2020. Results All 4 patients were diagnosed as active tuberculosis or latent tuberculosis infection, with one or several organs failure, fever, thrombocytopenia, liver and renal injury. They were given individualized positive rescue treatment, and achieved satisfying outcomes. Conclusions Severe tuberculosis-related patients often have complex and critical conditions, and may have similar clinical characteristics, but the actual causes are different, so the treatment focuses are different. Clinicians need to carefully analyze the condition, find out the key causes, and try to save the lives of patients.

Key words: fever, thrombocytopenia, liver and renal injury, severe tuberculosis-related patient

康怡, 傅满姣, 邓平. 4例结核病相关重症患者的诊治体会[J]. 广州医药, 2022, 53(3): 62-65.

KANG Yi. Diagnosis and treatment of 4 severe tuberculosis-related cases[J]. Guangzhou Medical Journal, 2022, 53(3): 62-65.

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4例结核病相关重症患者的诊治体会

Diagnosis and treatment of 4 severe tuberculosis-related cases

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