结核病与肺部健康杂志 ›› 2014, Vol. 3 ›› Issue (3): 175-177.doi: 10.3969/j.issn.2095-3755.2014.03.008

• 论著 • 上一篇    下一篇

尿毒症透析患者合并结核病的治疗分析

董庆泽, 金弢, 付畅, 熊焰   

  1. 110013 沈阳市红十字会医院肾内科
  • 收稿日期:2014-02-26 出版日期:2014-06-20 发布日期:2014-06-20
  • 通信作者: 金弢, Email: 1635246441@qq.com

Treatment analysis on uremic dialysis patients complicated with tuberculosis

DONG Qing-ze, JIN Tao, FU Chang, XIONG Yan.   

  1. Department of Nephrology,Shenyang Red-Cross Hospital, Shenyang 110013,China
  • Received:2014-02-26 Online:2014-06-20 Published:2014-06-20
  • Contact: JIN Tao, Email: 1635246441@qq.com

摘要: 目的 分析尿毒症透析患者合并结核感染的临床症状,提高诊治经验。方法对8例合并结核感染的尿毒症透析患者的临床资料进行回顾性分析。结果所有患者均接受抗结核治疗。7例患者结核病临床治愈,2例患者在治疗过程中肝功能检査发现转氨酶轻度升高;死亡1例,死因为心原性猝死。结论尿毒症透析患者合并的结核感染易误诊,早期诊断与合理治疗可以有效延长患者的生存时间,降低死亡率。因为有透析支持,抗结核药物的不良反应大多数是可以控制的。

Abstract: Objective To improve experience and accuracy in diagnosis and treatment on dialysis patients complicated with tuberculosis by analyzing their clinical symptoms.Methods Retrospective analysis was carried out on the clinical data of 8 dialysis cases complicated with tuberculosis disease.Results All patients received anti-tuberculosis treatment. Seven patients were clinically cured. However, mild elevation in aminotransferase appeared in two cases, sudden cardiac death happened in 1 case.Conclusion Dialysis patients complicated with tuberculosis tend to be misdiagnosed, early diagnosis and rational treatment can prolong the patients’ life and decrease their death rate effectively. In addition, most side effect of anti-tuberculosis drug can be controlled with dialysis support at the same time.