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儿童原发性肺结核82例误诊原因分析
引用本文:雷鸣,徐江红.儿童原发性肺结核82例误诊原因分析[J].中国热带医学,2011,11(8):1023-1024.
作者姓名:雷鸣  徐江红
作者单位:1. 咸宁市妇幼保健院,湖北,咸宁,437100
2. 咸宁市结核病防治所,湖北,咸宁,437100
基金项目:湖北省教育厅重点科研项目鄂教科(No.2002-8)
摘    要:目的分析儿童原发性肺结核误诊原因。方法对82例误诊儿童原发性肺结核病例的临床表现,X线检查,结核菌素试验、结核抗体等检测结果进行分析。结果 82例中气促78例、发热79例、盗汗乏力72例、咳嗽69例、咳痰43例。X线检查:正位片阳性28例,侧位片阳性60例;结核菌素试验:阳性78例;结核抗体检测阳性67例。误诊为支气管肺炎70例、支气管哮喘7例、流行性感冒5例。结论对儿童有气促、发热、结核中毒症状、咳嗽的患者,行X线正、侧位胸片及结核菌素、结核抗体检测试验,是提高儿童原发性肺结核诊断率的重要措施。

关 键 词:儿童  肺结核  误诊

Analysis of causes of misdiagnosis of 82 infant primary pulmonary tuberculosis cases
LEI Ming,XU Jiang-hong.Analysis of causes of misdiagnosis of 82 infant primary pulmonary tuberculosis cases[J].China Tropical Medicine,2011,11(8):1023-1024.
Authors:LEI Ming  XU Jiang-hong
Institution:LEI Ming,XU Jiang-hong.(Xianning Municipal Maternal and Children Hospital,Xianning 437100,Hubei,P.R.China)
Abstract:Objective To analyze the causes of misdiagnosis of primary tuberculosis in infants.Methods The results of the clinical manifestations in 82 children with primary tuberculosis after admission,X-ray examination,tuberculin test,tuberculosis antibody were analysed.Results The clinical manifestations were as follows: dyspnea occurred to 78 cases,79 cases with fever,night sweats and fatigue occurred to 72 cases,69 cases with cough,sputum observed in 43 cases;X-ray examination showed anteroposterior film positive ...
Keywords:Infant  Tuberculosis  Misdiagnosis  
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