先天性肺结核：胸片在诊断中的价值

目的 探讨胸部X线片在先天性肺结核中的诊断价值。材料与方法 对1992年10月－1999年4月经细菌学检查或尸解证实的先天性肺结核5例进行了分析。结果 肺部X线表现虽复杂多变，但有两种形式的表现仍具有一定的特殊性；（1）弥漫性栗粒病变；（2）广泛分布的斑片－结节病变。结论 胸部X线片在先天性肺结核的诊断中具有十分重要的作用，它常能首先提出诊断，引导临床及时确诊和治疗，降低死亡率。

Congenital Tuberculosis: The Diagnostic Value of Chest X-ray Film

Objective　To evaluate plain chest film in the diagnosis of congenital tuberculosis.　Materials and Methods　X-ray findings in 5 cases with congenital tuberculosis, proved with bacteriology or autopsy and encountered during 1992～1999 at the authors' hospital, were retrospectively analyzed.　Results　Though the pulmonary X-ray manifestations were complex and variable, two patterns were considered to be comparatively characteristic: (1) diffuse miliary pattern, and (2) wide-spread patch-nodular pattern.　Conclusion　Chest X-ray film plays a very important role in the diagnosis of congenital tuberculosis, providing physicians with radiological clues leading to the correct diagnosis.