资源描述:
《儿童肺结核临床分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、儿童肺结核临床分析作者:曾丽翔,彭东东,王冬敏,李亚发【关键词】肺结核;儿童;治疗 摘要:目的:探讨儿童肺结核的诊断和治疗方法,进一步提高儿童肺结核的诊治水平。方法:对1995年至2004年在汕头市结核病防治所就诊的56例儿童肺结核患者进行回顾性分析。结果:咳嗽48例(占85.7%),胸痛5例(占8.9%),无咳嗽、咳痰等呼吸道症状者8例(占16.7%),低热19例(占33.9%),纳差15例(占26.8%),盗汗12例(占21.4%),消瘦6例(占10.7%),乏力9例(占16.1%)。睡眠不安、精神不振2例(占3.6%)胸部X线正位片检查肺部结核病变52例(
2、占92.9%),正位片检查无明显结核病变而侧位片及胸部CT显示肺内及肺门淋巴结结核病变4例(占7.1%),结核菌素试验强阳性27例(占48.2%),痰查结核菌阳性3例(占5.4%),淋巴结活检5例(占8.9%)。26例治疗9个月后病变完全吸收,29例6个月后病变完全吸收,1例因药物肝炎不能顺利完成治疗。满疗程临床治愈率98.2%(55/56)。结论:儿童结核病症状、体征不典型,易延误诊断,影响治疗效果。加强儿童肺结核预防工作,早期诊断,合理化疗,是降低患病率、提高治愈率的关键措施。 关键词:肺结核;儿童;治疗9 ClinicalAnalysisofChildP
3、ulmonaryTuberculosis Abstract:Objective:Discussesthediagnosisandthemethodoftreatmentofthechildpulmonarytuberculosis,furtherenhancesthechildpulmonarytuberculosisthediagnosislevel.Method:Theclinicaldataof56childrenwithpulmonarytuberculosiswhichreceivesamedicalexaminationinthetuberculos
4、ispreventionSatationofShantoufrom1995to2004.Result:Coughsin48cases(85.7%),chestpainin5cases(8.9%),doesnothaverespiratorytractsymptomandsoonthecough,expectoratein8cases(14.3%),lowheatin19cases(33.9%),appetiteisbadin15cases(26.8%),robstheperspirationin12cases(21.4%),becomesemaciatedin6c
5、ases(10.7%),feelsweakin9cases(16.1%).sleepisrestlessandspiritualdispiritedin2cases(3.6%),thechestX-raynormalpositionpieceexaminationlungstuberculosispathologicalchangein52cases(92.9%),thenormalpositionpieceexaminationdoesnothavetheobvioustuberculosispathologicalchange,buttoleantheposi
6、tionpieceandinthechestCTdemonstrationlungandthelunghiluslymphnodetuberculosispathologicalchange4cases(7.1%),thePPDtestwasstrong9masculine27cases(48.2%),thephlegmlooksforthetuberculosisbacteriummasculinegender3cases(5.4%),thelymphnodebiopsy5cases(8.9%).26casestreatedfor9monthsthepathol
7、ogicalchangetoabsorbcompletely,29cases6monthsthepathologicalchangeabsorbscompletely.Becausethemedicineliverispoisoned1casescannotsmoothlycompletethetreatment.Fulltreatmentcourseclinicalcurerate98.2%.Conclusion:Thechildtuberculosissymptomareatypical,Itiseasytodelaythediagnosis,affectst
8、hetre