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相關文獻
- Pattern of Defervescence in Response to Anti-Tuberculosis Therapy in Patients with Extrapulmonary Tuberculosis and Advanced Human Immunodeficiency Virus Infection
- Tuberculous Anal Fistula
- 臺灣地區的肺外結核
- 皮肌炎合併骨結核病例用藥探討
- Extrapulmonary Tuberculosis in Tri-Service General Hospital, 1983 to 1992
- 淚囊鼻腔吻合術後肺外結核病--病例報告
- 肺外結核感染
- Extrapulmonary Tuberculosis in Children
- 由一位粟粒性結核的病人來看肺外結核的診斷與治療
- 肺外結核(Extrapulmonary tuberculosis)的治療原則
頁籤選單縮合
| 題 名 | Extrapulmonary Tuberculosis in Tri-Service General Hospital, 1983 to 1992=三軍總醫院近十年肺外結核病例分析 |
|---|---|
| 作 者 | 曾瑞壯; 江啟輝; 沈建業; | 書刊名 | 醫學研究 |
| 卷 期 | 16:3 1995.11[民84.11] |
| 頁 次 | 頁193-202 |
| 分類號 | 415.2773 |
| 關鍵詞 | 肺外結核; Extrapulmonary tuberculosis; |
| 語 文 | 英文(English) |
| 中文摘要 | 自1983年至1992年,10年期間,三軍總醫院住院病例為罹患肺外結核者有269人,佔所有結核病人數的15%。男性195名、女性74,二者人數之比為2.6:1。具有保險及民衆身份者佔174例,軍人及軍眷佔74例。根據統計顯示近五年來(1987-1982),肺外結核人口的發生率有隨年下降的趨勢(5%)。但肺外結核於總結核人數的百分比例卻有逐年上升之跡象。此種現象可部份解釋為肺結核感染的發生率下降速度超過同期肺外結核感染的下降速度,以致於使得同期肺外結核比率有上升的趨勢。在診斷肺外結核方面,組織病理及細菌學的確認,都有著同樣重要的角色。肺外結核所侵犯的位置以肋膜、淋巴結和骨骼關節為最主要。好犯的年齡層則在20歲至29歲之間。此階層則以年輕之軍人與一般病患為主。平均年齡男性36.8歲,比女性48.9歲為低。此乃男性患者中,又以年輕的軍人與一般病人佔大多數。對於肺外結核的誘發因素,則仍以曾經罹患過結核病者為最主要。但根據本文的統計,同時擁有X光片診斷之肺結核並肺外結核者只佔11.1%。所有病例除了2個個案死於其它非結核相關的原因及3例死於結核性腦膜炎外,其餘的266人在接受抗結核的藥物及部份個案輔以手術治療,皆有良好的預後。 結核病是一種千變萬化的疾病,身體上任何部位都可以被侵犯到。唯有徹底瞭解此病於各地區的流行病學上的差異,才能早期對肺外結核有所察覺及儘早地給予完全的治療以達到結核病的控制與消滅。 |
| 英文摘要 | Two hundred and sixty nine cases of extrapulmonary tuberculosis from a total of 277 sites were reported to the Tri-Service General Hospital between January 1, 1983 and December 31, 1992. They represented 15.4 percent of active tuberculous infection over the same period. The annual number of cases extrapulmonary tuberculosis remains relatively constant, contrasted with that of pulmonary tuberculosis over the same period. Bacteriological and histopathological examinations in making a definite diagnosis was equally important. The most common sites of involvement were pleura in 86 (32.0%), lymph nodes in 55 (20.4%), bone/joints in 44 (16.4%), military infection 30 (11.1%) and gastrointestinal tract in 22 (8.2%). Presenting symptoms were protean and often resulted in long delays between onsets of symptoms and eventual diagnosis. Prior history of, or exposure to tuberculosis, constitutional symptoms and febrile course were important findings suggesting the diagnosis. Male patients predominated in all forms of extrapulmonary tuberculosis except for TB meningitis. The ratio of male to female was 2.6:1. The peak number of cases by age occurred in the third decade of life and the mean age male patients was 36.8 years, which was younger than 48.9 years of female patients. Most of these patients with extrapulmonary tuberculosis receiving adequate anti-TB chemotherapy showed a favorable outcome, no matter with or without surgical intervention. Five cases died; two for TB-unrelated causes, three for the sequelae of TB meningitis. It is concluded that extrapulmonary tuberculosis remains an important infectious problem despite overall decrease in the incidence of tuberculosis, and maintaining a high index of clinical suspicion is mandatory for any unexplained diseases presented to medical practitioners. |
本系統中英文摘要資訊取自各篇刊載內容。