摘要
报道当地1例4月龄男孩卡介苗性淋巴结炎的发生、处置及预后情况等。该儿童在某预防接种门诊常规接种卡介苗约3个多月后,发现左腋窝下一淋巴结肿大约2cm×2cm,经某市立医院临床诊断为"左腋窝淋巴结结核",该诊断在淋巴结切除后经病理检查证实,术后给予抗结核药物治疗,并痊愈。结合文中病例,对相关文献中的卡介苗的常见异常反应进行了复习,卡介苗性淋巴结炎是卡介苗接种后的异常反应的主要类型,总结其特点和处置方法,为当地免疫规划工作处置类似病例提供可借鉴的资料。
The condition of a local four-month-old case of lymphadenitis following the vaccination of BCG including the occurring,disposal and prognosis was reported in the article. After the child was vaccinated with BCG at a health care clinic more than about 3 months,one left axillary lymph node was found swollen which was of about 2 cm ~ 2 cm.The diagnosis of left axillary lymph node tuberculosis was made in a municipal hospital. With the axillary lymph node excision operation conducted,the diagnosis was confirmed through pathological diagnosis. The patient was given postoperative antituberculous drug therapy,and soon he recovered. Combined with the case,the literatures of adverse events following immunization of BCG was reviewed. BCG lymphadenitis following BCG vaccination was the main type of the abnormal response of BCG,and its characteristics and the disposal methods were summarized so as to provide reference information for the disposals of analogous cases in the local expanded program immunization.
出处
《中国医药科学》
2013年第3期155-156,200,共3页
China Medicine And Pharmacy
关键词
卡介苗
淋巴结
结核
疫苗
免疫
异常反应
BCG
Lymph node
Tuberculosis
Vaccine
Immunization
Adverse events following immunization
