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小儿结核性胸膜炎58例临床分析 被引量:3

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摘要 目的探讨小儿结核性胸膜炎的诊断及治疗方法。方法分析58例小儿结核性胸膜炎的临床资料。结果 58例中有结核病接触史14例(24.1%),未接种卡介苗8例(13.8%)。其中发热50例(86.2%),胸痛21例(36.2%),咳嗽27例(46.5),气促4例(6.9%),盗汗20例(34.5%),合并肺结核19例(32.7%),结核性腹膜炎4例(6.9%)。全部病例通过全程抗结核治疗和合理使用激素及对症治疗,痊愈58例(100%),其中需手术治疗4例(6.9%)。结论该病起病较隐蔽,应询问病史和流行病学资料,结合胸部B超/CT及胸水检查是诊断的关键。应尽早联合抗结核治疗,合理使用激素。
机构地区 广州市胸科医院
出处 《临床肺科杂志》 2012年第8期1515-1516,共2页 Journal of Clinical Pulmonary Medicine
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