摘要:目的 探讨免疫功能低下(免疫损害)对肺结核患者发病与疗效的影响。 方法 对1999年1月～2004年6月收治的免疫损害合并肺结核48例及免疫功能正常的肺结核病人48例的发病及临床特点，进行对照分析。 结果 免疫功能低下合并肺结核者较免疫功能正常肺结核者的临床症状较重，治疗较困难，愈后较差，复发率较高。 结论 对免疫功能低下尤其长期应用糖皮质激素者要定期体检，及早发现肺结核，并对免疫功能低下肺结核患者采用合理完善的治疗，才可提高治愈率，降低复发率。

    关键词:免疫损害;肺;结核

    The relationship between the immunocompromise in the host with the incidence and therapeutic effect of pulmonary tu-berculosis.

    ZHANG Le-ping.

    (Zhaoqing Municipal Pulmonary Hospital，Zhaoqing526020，Guangdong，P.R.China)

    Abstract:Objective To observe the relationship between the immunocompromise in the hostwith the incidence and therapeutic effect of pulmonary tuberculosis. Methods The96patients treated in Zhaoqing Municipal Pulmonary Hospital during January1999and June2004were divided into observation group consisted of48immunocompromised patients complicated with pulmonary tubercu-losis and control group consisted of another48tuberculosis patients with normal immune function.The Clinical features results of treatment were analyzed. Results The Clinical manifestations in the patients of the observation group were severer and more diffi-cult to deal with in addition to unsatisfactory prognosis and high recurrent rate than those in the control group. Conclusion Regular health checkup of the patients immunocompromise and using steroids should be made for early identification of tuberculosis and ratio-nal treatment of the patients so as to enhance the curative rate and reduce the recurrent rate. ......