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1、小儿卡介苗性淋巴结核的外科治疗SurgicaltreatmentoftuberculouslymphadenitiscausedbyBCGvaccinationininfants小儿外科柳宏金兴硕连树华IntroductionofBCGBCGistheacronymforBacillusCalmetteGuérin,BacillusisthemeaningofBacteria,CalmetteandGuérinarebothFrenchscientist,after13yearsofsubculture,theygotanattenuate
2、dstrainBCG,canbeusedtopreventTBinfection,inchinesenamedaskajiemiao.BCGvaccinationknownasthefirstinjectionofnewborn,inthelateralupperarmdeltoid0.1mlintradermalinjection.BCGvaccinationofchildrenisverygoodforthehealthygrowth.TheuseofBCGTheoriginalforthepreventionoftuberculosi
3、sasaspecificimmuneagent.Italsohasfunctiontopromotemacrophagephagocytosisasanon-specificimmuneenhancer.Itisusedintreatmentofmalignantmelanoma,orlungcancer,acuteleukemia,malignantlymphomaafterradicalsurgeryorchemotherapyasadjuvanttreatment.ItwerealsoreceivedsomeeffectsofBCGt
4、herapywithpediatricasthma,bronchitis,pediatricflupreventionandthepreventionandtreatmentofadultchronicbronchitis.ResponseaftervaccinationAfterBCGvaccinationofabout1to2weeks,thelocalsectionwillshowtheredknot,thengraduallygrewup,aslightitching,butnotfever;6to8weekstoformpusbu
5、bblesorulceration;10to12weeksbegantoscab,Afterthescaboffleavingasmallreddishscars,aftertheredcolorgraduallybecamenormal.Swollenlymphglandswouldemergeasabnormalreactions,mainlyrelatedtopersonalphysicalfitness,themorevulnerableyoungervaccination,alsowiththetypeofvaccinationo
6、rinoculationtoodeep,suchasvaccinationintheskin.AlthoughBCGhasplayedanimportantroleinpreventingTBinchildren,withtheuniversalvaccinationofBCG,asmallnumberofchildrenshowedenlargementofaxillarylymphnodesinvaccinatedside,evenbecometheTBmass,deservesourattention.AbstractObjectiv
7、eTosummarize19casesoftuberculouslymphadenitiscausedbyBCGvaccination,toexploretheetiology,clinicalfeatures,diagnosisandrationalandeffectivetreatmentMethods:AretrospectiveanalysisofBCGtuberculouslymphadenitisinourhospital.Summarizetheclinicalcharacteristics,surgicaltechnique
8、,curativeeffectandprognosisAbstractResults:9caseshavebeenmisdiagnosedinotherplaces,allchi
