儿童结核性胸膜炎临床分析(附22例报告)

中国防痨杂志 ›› 2001, Vol. 23 ›› Issue (3): 155-157.

儿童结核性胸膜炎临床分析(附22例报告)

张青；肖和平；

上海市肺科医院上海 200433；

出版日期:2001-03-10 发布日期:2001-11-03

The clinical analysis of childhood tuberculous pleurisy (A report of 22 cases)

ZHANG Qing,XIAO He-ping.

Department of Tuberculosis,Shanghai Pulmonary Hospital,Shanghai 200433

Online:2001-03-10 Published:2001-11-03

摘要/Abstract

摘要： 目的　总结儿童结核性胸膜炎的特点,减少误诊,并探讨治疗方法。方法对1993～1999年我院住院资料完整的22例儿童结核性胸膜炎采用回顾性分析,并对同期住院资料完整的成人结核性胸膜炎进行随机取样,选择了40例作为对照组。结果儿童结核性胸膜炎以纳差、发热、咳嗽症状较多见,合并症少,药物性肝炎的发生率低,实验室检查提示血结核抗体阳性率低,易延误诊断;PPD试验及胸部CT有助诊断。结论掌握儿童结核性胸膜炎的临床特点,综合分析,早期诊断,合理治疗,可取得较好疗效。

关键词: 结核,胸膜, 儿童,住院

Abstract: Objective To summarige the characteristics of tuberculous pleurisy in children induce for reducing misdiagnosis and evaluating the treatment methods.Methods 22 cases of tuberculous pleurisy in children from 1993 to 1999 were reviewed and analyzed.For comparison we chose 40 cases of tuberculous pleurisy in adults during the corresponding period.Results Anorexic,fever and cough were more than associated diseases;The incidence of medical hepatitis was low;PPD test and chest CT examination could assist in diagnosis.Conclusion A better Results of treatment can be achieved by mastering the characteristics of tuberculous pleurisy in children,comprehensive analysis,early diagnosis and regular therapy.

Key words: Tuberculosis,pleural, Child,hospitalized

张青,肖和平,. 儿童结核性胸膜炎临床分析(附22例报告)[J]. 中国防痨杂志, 2001, 23(3): 155-157.

ZHANG Qing,XIAO He-ping.. The clinical analysis of childhood tuberculous pleurisy (A report of 22 cases)[J]. Chinese Journal of Antituberculosis, 2001, 23(3): 155-157.