医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
15期
120-120
,共1页
结核%皮肤%诊断
結覈%皮膚%診斷
결핵%피부%진단
Tuberculosis%Skin%Diagnosis
目的探讨皮肤结核的诊断、治疗措施，提高对该病的认识。方法对75例确诊为皮肤结核患者的临床特点进行综合分析。结果75例患者表现风湿性结节性红斑4例(5.3%)，药物过敏9例(12%)，细菌性脓疱疹6例(8%)，皮肤慢性溃疡感染4例(5.3%)，酒渣鼻2例(2.6%)，皮肤过敏24例(32%)，慢性湿疹26例(34.7%)，病理诊断64例，细菌性检查诊断4例，结核病诊断性试验治疗7例，经随访预后良好。结论皮肤结核以病程长，病变多样为突出表现，误诊率极高，诊断主要依靠病理学检查及细菌学检查及诊断性治疗。抗结核化疗是皮肤结核主要有效治疗手段。
目的探討皮膚結覈的診斷、治療措施，提高對該病的認識。方法對75例確診為皮膚結覈患者的臨床特點進行綜閤分析。結果75例患者錶現風濕性結節性紅斑4例(5.3%)，藥物過敏9例(12%)，細菌性膿皰疹6例(8%)，皮膚慢性潰瘍感染4例(5.3%)，酒渣鼻2例(2.6%)，皮膚過敏24例(32%)，慢性濕疹26例(34.7%)，病理診斷64例，細菌性檢查診斷4例，結覈病診斷性試驗治療7例，經隨訪預後良好。結論皮膚結覈以病程長，病變多樣為突齣錶現，誤診率極高，診斷主要依靠病理學檢查及細菌學檢查及診斷性治療。抗結覈化療是皮膚結覈主要有效治療手段。
목적탐토피부결핵적진단、치료조시，제고대해병적인식。방법대75례학진위피부결핵환자적림상특점진행종합분석。결과75례환자표현풍습성결절성홍반4례(5.3%)，약물과민9례(12%)，세균성농포진6례(8%)，피부만성궤양감염4례(5.3%)，주사비2례(2.6%)，피부과민24례(32%)，만성습진26례(34.7%)，병리진단64례，세균성검사진단4례，결핵병진단성시험치료7례，경수방예후량호。결론피부결핵이병정장，병변다양위돌출표현，오진솔겁고，진단주요의고병이학검사급세균학검사급진단성치료。항결핵화료시피부결핵주요유효치료수단。
Objective To investigate the diagnosis and treatment of skin tuberculosis in order to improve the understanding of skin tuberculosis. Methods In 75 patients with clinical features of cutaneous tuberculosis were analyzed. Results 75 cases of cutaneous tuberculosis Rheumatic anifestations of erythema nodosum 4 cases (5.3%), drug al ergy9 cases (12%), bacterial impetigo 6 cases (8%), chronic skin ulcer infection in 4 patients (5.3%). Rosacea 2 cases (2.6%), skin ir itation in 24 patients (32%), chronic eczema, 26 cases (34.7%), pathological diagnosis 64 cases, 4 cases of bacterial diagnosis, treatment of TB diagnostic tests in 7 cases, were fol owed prognosis is good. Conclusion TB skin with longer duration, the lesions varied for the outstanding performance, high rate of misdiagnosis, diagnosis based on pathology, bacteriology and diagnostic treatment. The main anti-TB chemotherapy is an ef ective skin tuberculosis treatment.
