小儿不典型结核病112例临床特点分析  

Analysing clinical characters of children with atypical tuberculosis about 112 cases

作　　者：张卫平[1] 张红[1] 古丽鲜.艾斯卡尔 多力坤.木扎帕 罗琼[1] 

机构地区：[1]新疆医科大学第一附属医院儿科,新疆乌鲁木齐830011

出　　处：《新疆医科大学学报》2009年第9期1221-1223,共3页Journal of Xinjiang Medical University

摘　　要：目的:探讨新时期小儿不典型结核病临床特点,提高儿科医生诊断不典型结核病识别能力。方法:根据临床诊断标准、结核菌素试验(PPD)、影像学检查法、外周淋巴结病理活检或细胞学检查进行综合分析。结果:以反复呼吸道感染为特征的小儿肺结核21例(占18%);以大叶性肺炎为特征的小儿肺结核43例占(38%);以单侧胸水为特征的结核性胸膜炎10例占(8%):以颈淋巴结炎为特征淋巴结核12例(占10%):以颌下囊肿为特征的淋巴结核6例占(5%);以哮喘为特征肺结核9例占(8%);以精神病为特征结核性脑膜炎8例占(7%):以白内障为首发特征结核性脑膜炎3例(占2%)。结论:新时期小儿结核病以不典型特征出现,诊断主要靠临床综合指标及对此病的高度警觉性,并动态追踪关键因素,必要时治疗性诊断。Objective： To eyplore clinical characters of atypical tuberculosis in children. Method： We used clinical analyzing method, PPD test, imaging investigation and biopsy of lymph nodes. Results： The result showed that the character of recurrent respiratory infections in primary tuberculosis were 21 cases （18%）. The lobar pneumonia character of primary tuberculosis were 43 cases （38%）. The pleural fluid of tubercu lous pleuralitis were 10 cases （8%） ; The tuberculosis of lymphonodi cervicales were 12 cases （10%） ; The asthmatic character of primary tuberculosis was 9 cases （80%）; the psychosis character of tuberculous meningitis were 8 cases （7%） ; The cataract character of tuberculous meningitis was 3 cases （2%）. Conclusion： Children tuberculosis has atypical character. We should have much vigilance and follow key facters as well as therapeutic diagnosis.

关 键 词：儿童 不典型 结核病 

分 类 号：R52[医药卫生—内科学]