300例BCG接种后淋巴结及接种局部异常反应和处理

目的探讨婴幼儿卡介苗(BCG)接种后淋巴结肿大不同情况的处理方法。方法对南京市1 891 640名接种BCG的婴幼儿中发生的300例淋巴结肿大异常反应及处理方法进行回顾性分析。结果300例婴幼儿BCG接种后回流区淋巴结有不同程度的肿大,淋巴结肿大主要分布于注射侧腋下,占54．7％,次为接种局部皮下深部脓肿,占38．0％。对于淋巴结肿大早期采用简单易行的微波治疗和热敷治疗,治愈率在55．0％以上,脓肿形成者进行切开引流,其治愈率达100．0％。结论根据淋巴结肿大不同的情况,可采取不同的治疗方法。

Managements of 300 babies with lymphadenitis after the vaccination with BCG

Objective To research the clinical types and managements of adverse reactions after the vaccination with BCG. Methods The data of 300 cases with adverse reaction in 1891640 babies vaccinated with BCG was analyzed retrospectively. Results Of 300 babies with adverse reaction after the vaccination with BCG, 54.7% were different degree of lymphadenitis in axillary region, 38.0% were regional abscess. 55.0% of cases with lymphadenitis were cured by the microwave and hot compress managements on the region of lymphadenitis. 100% of cases with abscess were cured with therapy of incision and drainage. Conclusion Different therapy and comprehensive measures should be available for the different adverse reactions after the vaccination with BCG.