CAJ | 학술논문

目的：提高对儿童肺结核的认识和诊断水平。方法回归性分析2005年1月-2012年1月收治的42例肺结核患儿的临床和影像学资料。结果42例患儿中男性28例(66．7%),女性14例(33．3%)；年龄5岁以下31例(73．8%),5岁~12岁11例(26．2%)；PPD为(++)及以上者为71．4%,阴性为9．5%。症状以发热(57．1%)和咳嗽(76．2%)为主要表现,有结核中毒症状如乏力盗汗和消瘦等占66．7%,浸润性肺结核占23．8%,合并肺外结核占38．1%,大部分病例(71．4%)在病程中未得到及时诊断,误诊时间最长达8个月。结论儿童肺结核病的临床诊断主要是依据结核中毒症状、结核接触史、是否有卡介苗疤痕、PPD试验结果、影像学检查等综合分析。
목적：제고대인동폐결핵적인식화진단수평。방법회귀성분석2005년1월-2012년1월수치적42례폐결핵환인적림상화영상학자료。결과42례환인중남성28례(66．7%),녀성14례(33．3%)；년령5세이하31례(73．8%),5세~12세11례(26．2%)；PPD위(++)급이상자위71．4%,음성위9．5%。증상이발열(57．1%)화해수(76．2%)위주요표현,유결핵중독증상여핍력도한화소수등점66．7%,침윤성폐결핵점23．8%,합병폐외결핵점38．1%,대부분병례(71．4%)재병정중미득도급시진단,오진시간최장체8개월。결론인동폐결핵병적림상진단주요시의거결핵중독증상、결핵접촉사、시부유잡개묘파흔、PPD시험결과、영상학검사등종합분석。
Objective To improve the understanding and diagnostic level for children with tuberculosis. Methods The clinical and radio-graphic data of 42 children with pulmonary tuberculosis in our hospital from January 2005 to January 2012 were retrospectively analyzed. Results There were 28 males ( 66. 7%) and 14 females (33. 3%), and 31 cases under 5 years old (73. 8%) and 11 cases between 5 to 12 years old (26. 2%). There were 71. 4% cases whose PPD skin test was positive with + + and 9. 5% of negative. Symptoms included fever (57. 1%) and cough (76. 2%) as the main performance. Other TB symptoms such as fatigue, night sweats and weight loss was in 66. 7% cases. 23. 8% of the cases were pulmonary tuberculosis, and 38. 1% of them were complicated with pul-monary tuberculosis. Most cases (71. 4%) in the course had not been diagnosed in time. The time of misdiagnosis was up to 8 months. Conclusion The clinical diagnosis of children with TB is mainly based on the comprehensive a-nalysis of TB symptoms, history of exposure to tuberculosis, BCG scar, PPD skin test and imaging.