老年肺结核病的诊治现状及进展
[摘要] 全国第5次结核病流行病学抽样调查结果显示，60岁以上活动性肺结核患者占48.8%，且呈向高龄组推移的倾向。老年肺结核因其表现不典型，病灶分布不典型，实验室检查阳性率低以及治疗用药依从性差，不良反应率高等原因致老年肺结核病的诊断及治疗成为难题，甚至成为难治性肺结核病。近年来一些新的分子生物学及免疫学方法用于结核病的辅助诊断，针对老年肺结核病人的个体化治疗、综合性治疗的普及，为老年肺结核病的诊治提供了很好的技术支持和保障。该文对此进行综述。
[关键词] 老年人;肺结核;诊断;治疗;老年结核病
[中图分类号] R521[文献标识码] A[文章编号] 1672-5654（2016）11（c）-0183-03
Diagnosis and Treatment Status and Progress of Senile Tuberculosis
LI Xiao-zhen
First Department of Tuberculosis， Tuberculosis Control and Prevention Institution， Dandong， Liaoning Province， 118000 China
[Abstract] The surgery results of national 5th tuberculosis epidemiology shows that the patients with active tuberculosis aged more than 60 account for 48.8%， the diagnosis and treatment of senile epidemiology becomes a difficult topic due to the atypical manifestation of senile tuberculosis， atypical lesion distribution， low positive rate of laboratory examination， bad treatment medication compliance and high adverse reaction rate， even becomes the refractory pulmonary tuberculosis， in recent years， some new molecular biology and amynology methods in the adjunctive diagnosis of tuberculosis and popularizing the individual treatment and general treatment for senile tuberculosis provides a better technical support and guarantee for the diagnosis and treatment of senile tuberculosis. This article summarizes this article.
[Key words] Senile;Pulmonary tuberculosis; Diagnosis; Treatment; Senile tuberculosis
结核病是全球严重的公共卫生问题之一，是威胁全球及中国人群健康的重大传染病， 2015年WHO报告全球估算共有960万...
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