中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
27期
120-121
,共2页
儿童%粟粒性肺结核%误诊
兒童%粟粒性肺結覈%誤診
인동%속립성폐결핵%오진
Children%Miliary tuberculosis%Misdiagnosis
目的：探讨儿童粟粒性肺结核的临床特点，分析误诊情况及吸取经验。方法：8年来收治儿童急性粟粒性肺结核误诊患者45例，对其诊治情况进行回顾性分析。结果：本组研究中临床症状依次是发热、消瘦、盗汗、肝肿大、脑膜刺激征等，误诊疾病发生率依次是上呼吸道感染、支气管炎、肺炎、化脓性脑膜炎。结论：为减少儿童粟粒性肺结核误诊，临床医师应掌握儿童粟粒性肺结核诊断标准，加强对发病诱因认识，正确运用胸部X线及胸部CT诊断本病。
目的：探討兒童粟粒性肺結覈的臨床特點，分析誤診情況及吸取經驗。方法：8年來收治兒童急性粟粒性肺結覈誤診患者45例，對其診治情況進行迴顧性分析。結果：本組研究中臨床癥狀依次是髮熱、消瘦、盜汗、肝腫大、腦膜刺激徵等，誤診疾病髮生率依次是上呼吸道感染、支氣管炎、肺炎、化膿性腦膜炎。結論：為減少兒童粟粒性肺結覈誤診，臨床醫師應掌握兒童粟粒性肺結覈診斷標準，加彊對髮病誘因認識，正確運用胸部X線及胸部CT診斷本病。
목적：탐토인동속립성폐결핵적림상특점，분석오진정황급흡취경험。방법：8년래수치인동급성속립성폐결핵오진환자45례，대기진치정황진행회고성분석。결과：본조연구중림상증상의차시발열、소수、도한、간종대、뇌막자격정등，오진질병발생솔의차시상호흡도감염、지기관염、폐염、화농성뇌막염。결론：위감소인동속립성폐결핵오진，림상의사응장악인동속립성폐결핵진단표준，가강대발병유인인식，정학운용흉부X선급흉부CT진단본병。
Objective:To explore the clinical characteristics of children miliary tuberculosis,to analyze the misdiagnosis condition and assimilate experience.Methods:45 cases with children miliary tuberculosis misdiagnosis were selected in 8 years.Their diagnosis and treatment conditions were retrospectively analyzed.Results:In the study group,clinical symptoms were turn fever, weight loss,night sweats,hepatomegaly,meningeal irritation sign and so on.The misdiagnosed disease incidence rates were turn upper respiratory tract infection,bronchitis,pneumonia,suppurative meningitis.Conclusion:For reducing children miliary tuberculosis misdiagnosis,clinicians should grasp the diagnostic criteria of children miliary tuberculosis,strengthen the understanding of the pathogenesis,and correctly apply chest X-ray and chest CT to diagnose this disease.
