CAJ | 학술논문

目的通过对18例青年以颈部淋巴结肿大、发热为首发症状患者的临床和病例资料进行总结分析,初步了解疾病分布及其临床特点.方法回顾性分析18例青年以颈部淋巴结肿大、发热为首发症状患者的临床病例资料.结果经淋巴结活检确诊为淋巴结核8例(44%)、慢性淋巴结炎5例(28%)、淋巴瘤2例(12%)、组织细胞坏死性淋巴结炎3例(17%).结论引起颈部淋巴结肿大伴发热的疾病及病因很多,而临床表现很多时候缺乏特异性,易误诊,确诊需进行淋巴结活检,及时明确诊断以免延误治疗,尤其是恶性肿瘤的治疗.
목적통과대18례청년이경부림파결종대、발열위수발증상환자적림상화병례자료진행총결분석,초보료해질병분포급기림상특점.방법회고성분석18례청년이경부림파결종대、발열위수발증상환자적림상병례자료.결과경림파결활검학진위림파결핵8례(44%)、만성림파결염5례(28%)、림파류2례(12%)、조직세포배사성림파결염3례(17%).결론인기경부림파결종대반발열적질병급병인흔다,이림상표현흔다시후결핍특이성,역오진,학진수진행림파결활검,급시명학진단이면연오치료,우기시악성종류적치료.
Objective To have a preliminary understanding of disease distribution and its clinical characteristics in youth neck lymph node enlargement associated with fever diseases. Methods Clinical data of 18 hospitalized patients from January 2008 to December 2012 in hospital were analyzed retrospectively. Results Diagnosed by the lymph node biopsy f, 8 cases were tuberculous cervical lymphadenitis(44%), 5 cases werechronic lymphadenitis(28%), 2 cases were lymphoma (12%), 3 cases were histiocytic necrotizing lymthbenitis (17%). Conclusion Youth neck lymphadenectasis associated with fever diseases should be diagnosis by lymph node biopsy timely.