RESUMO
The study covered influence of quartz industrial dust and concomitant chronic bronchitis on neutrophil--macrophage index in tuberculous workers engaged into pneumoconiosis hazard industry. Increased more than 0.7, the index suggests unfavorable prognosis. Better prognosis requires mandatory examination of respiratory tract and sanation therapy.
Assuntos
Bronquite/epidemiologia , Indústrias , Doenças Profissionais/epidemiologia , Pneumoconiose/epidemiologia , Tuberculose Pulmonar/epidemiologia , Adulto , Doença Crônica , Feminino , Humanos , Macrófagos/patologia , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Tuberculose Pulmonar/diagnóstico , Tuberculose Pulmonar/patologiaAssuntos
Faringe , Crânio , Tuberculose Gastrointestinal , Tuberculose Bucal , Tuberculose Osteoarticular , Biópsia , Diagnóstico Diferencial , Humanos , Incidência , Mycobacterium tuberculosis/isolamento & purificação , Federação Russa/epidemiologia , Teste Tuberculínico , Tuberculose Gastrointestinal/diagnóstico , Tuberculose Gastrointestinal/epidemiologia , Tuberculose Gastrointestinal/microbiologia , Tuberculose Bucal/diagnóstico , Tuberculose Bucal/epidemiologia , Tuberculose Bucal/microbiologia , Tuberculose Osteoarticular/diagnóstico , Tuberculose Osteoarticular/epidemiologia , Tuberculose Osteoarticular/microbiologiaRESUMO
The relationship between the efficiency of treatment and the nature of morphological changes in the lung was studied in 125 patients with pulmonary tuberculosis without X-ray signs of pneumoconiosis who worked at coniosis-risk enterprises (CRR). Despite adequate specific and pathogenetic therapy, tuberculomas formed and decay cavities preserved in the patients, in this connection they had surgical treatment. Three types of morphological changes were identified. Quartz-containing industrial dust was found to exert an adverse potentiating effect on the course of tuberculosis in most CRE patients: increases in the delimiting a specific process of respiratory disorders and postoperative complications. These specific features should be borne in mind in drawing up a treatment protocol for patients working exposed to industrial dust.