Clinical characteristics of severe pulmonary tuberculosis complicated with respiratory failure
重症肺结核合并呼吸衰竭的临床特征分析

摘要

目的 研究分析重症肺结核合并呼吸衰竭的临床特征。方法 选取我院在2021年至2022年收治的30例重症肺结核合并呼吸衰竭患者作为研究对象，对其进行临床治疗分析，观察患者治疗情况和治疗前后的血气指标情况。结果 肺部感染是重症肺结核合并呼吸衰竭的常见诱因，与治疗前相比较，通过有效的临床治疗后，重症肺结核合并呼吸衰竭的患者在肺活量、肺总量、血氧分压、二氧化碳分压和血氧饱和度各项血气指标上得到了明显的提高，心率和呼吸频率等指标回到了正常的范围，差异具有统计学意义（P<0.05）。结论 重症肺结核合并呼吸衰竭病情严重，发病快，严重危害患者的生命健康，需采取积极的治疗方案，缓解临床症状，控制疾病的发展速度，提高患者的存活率，临床实践意义重大。

Abstract

Objective: To study and analyze the clinical characteristics of severe pulmonary tuberculosis complicated with respiratory failure.
Methods: 30 patients with severe pulmonary tuberculosis complicated with respiratory failure admitted to our hospital from 2021 to 2022 were selected as the research object, and their clinical treatment was analyzed, and the treatment status and blood gas indexes of patients before and after treatment were observed.
Results: Lung infection is the common cause of severe tuberculosis and respiratory failure, compared with before treatment, through effective clinical treatment, severe pulmonary tuberculosis patients with respiratory failure in lung capacity, pulmonary volume, blood oxygen partial pressure, co2 partial pressure and oxygen saturation has dramatically improved on blood gas index, heart rate and breathing rate index returned to normal range, The difference was statistically significant (P< 0.05).
Conclusion  : Severe pulmonary tuberculosis complicated with respiratory failure is serious, rapid onset, seriously endanger the life and health of patients, it is necessary to take a positive treatment plan, alleviate clinical symptoms, control the development rate of the disease, improve the survival rate of patients, clinical practice is of great significance.