摘要
目的提高对儿童肺结核的认识和诊断水平。方法回归性分析2005年1月-2012年1月收治的42例肺结核患儿的临床和影像学资料。结果42例患儿中男性28例（66.7%）,女性14例（33.3%）;年龄5岁以下31例（73.8%）,5岁～12岁11例（26.2%）;PPD为（＋＋）及以上者为71.4%,阴性为9.5%。症状以发热（57.1%）和咳嗽（76.2%）为主要表现,有结核中毒症状如乏力盗汗和消瘦等占66.7%,浸润性肺结核占23.8%,合并肺外结核占38.1%,大部分病例（71.4%）在病程中未得到及时诊断,误诊时间最长达8个月。结论儿童肺结核病的临床诊断主要是依据结核中毒症状、结核接触史、是否有卡介苗疤痕、PPD试验结果、影像学检查等综合分析。
Objective To improve the understanding and diagnostic level for children with tuberculosis.Methods The clinical and radio-graphic data of 42 children with pulmonary tuberculosis in our hospital from January2005 to January 2012 were retrospectively analyzed. Results There were 28 males（ 66. 7%） and 14 females（ 33. 3%）,and 31 cases under 5 years old（ 73. 8%） and 11 cases between 5 to 12 years old（ 26. 2%）. There were71. 4% cases whose PPD skin test was positive with ＋ ＋ and 9. 5% of negative. Symptoms included fever（ 57. 1%）and cough（ 76. 2%） as the main performance. Other TB symptoms such as fatigue,night sweats and weight loss was in 66. 7% cases. 23. 8% of the cases were pulmonary tuberculosis,and 38. 1% of them were complicated with pulmonary tuberculosis. Most cases（ 71. 4%） in the course had not been diagnosed in time. The time of misdiagnosis was up to 8 months. Conclusion The clinical diagnosis of children with TB is mainly based on the comprehensive analysis of TB symptoms,history of exposure to tuberculosis,BCG scar,PPD skin test and imaging.
出处
《临床肺科杂志》
2015年第4期600-602,共3页
Journal of Clinical Pulmonary Medicine
关键词
儿童
肺结核
胸部影像
临床分析
children
tuberculosis
chest imaging
clinical analysis
