澳门卡介苗接种并发淋巴腺炎的病例分析  

The Case Study of Bacille Calmettte-Guerin(BCG) Associated Lymphadenitis In Macao

作　　者：黄子秉 邹琴清 

机构地区：[1]澳门卫生局筷子基卫生中心全科专科,澳门999078 [2]澳门卫生局仁伯爵综合医院儿科专科,澳门999078

出　　处：《吉林医学》2014年第25期5701-5702,共2页Jilin Medical Journal

摘　　要：目的:本调查研究旨在通过描述卡介苗接种后并发的淋巴腺炎的婴儿临床特点和转归,探讨有关治疗方案。方法:选取接诊的25例卡介苗接种后并发的淋巴腺炎的婴儿个案,从病历中调查有关患儿的临床特点、治疗经过和转归。结果:对过去7年在澳门仁伯爵综合医院接受治疗的25名卡介苗接种后并发的淋巴腺炎的婴儿进行调查,发现84%儿童在接种后6个月内发生淋巴腺炎,16%儿童接种后7至9个月内发生淋巴腺炎,接种后平均4.4个月内发生淋巴腺炎。有36%患儿经治疗后淋巴结肿大消失,32%经观察后肿大淋巴结直径变小,有16%患儿单纯观察数月后肿大的淋巴结消失。全部病例均不需接受抗结核病药物治疗。68%病例胸部X光平片检查正常,其中8例未进行胸部X光平片检查。结论:建议治疗非化脓性卡介苗所并发的淋巴腺炎首选观察,若肿大的淋巴结脓性变,采用单纯抗生素治疗或合并切开排脓。Objective This study aimed to discuss about the treatment of lymphadenitis complicated after BCG vaccination by descri-bing infants＆#39; clinical features and outcome. Method This survey aims to describe the clinical features and outcomes of babies with lymphad-enitis complicating BCG vaccination. Try to investigate their treatments. Results Reviewed 25 babies in Centro Hospitalar Conde de S？o Janu＆#225;rio Macao SAR who developed axillary lymphadenitis after BCG vaccination in the past seven years. Found that 84% babies and 16%babies developed lymphadenitis within 6 months and 9 months respectively after vaccination. The average onset was 4. 4 month. There were 36% babies whose lymph nodes disappeared after treatment. Adenitis got smaller in 32% babies and disappeared in 16% babies without any intervention during observation. All of 25 babies did not receive anti-TB therapy. 68% babies＆#39; chest X-rays were normal. There were 8 babies did not have chest X-ray examinations. Conclusion Recommend that observation for those non-suppurative BCG lymphadeni-tis. If enlarged lymph nodes developed purulent,antibiotic treatment alone or combined with incision＆amp;drainage of the abscess were sugges-ted.

关 键 词：疫苗接种 BCG疫苗 淋巴结 淋巴腺炎 

分 类 号：R186[医药卫生—流行病学]