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目的 :探讨小儿臀部肌注后非结核性分枝杆菌感染后诊治问题。方法 :局部取脓液培养检出龟分枝杆菌 9例 ,其余为表皮葡萄球菌、铜绿假单胞菌。病理检查为类结核结节、感染性肉芽肿 ,药物选用阿奇霉素、立复欣、异烟肼。均切开引流 ,局部药物湿敷填塞。结果 :小儿臀部感染 18例潜伏期是 48.2 2± 2 2 .5 3天 ,其中双侧感染 4例 ,单侧 14例 ,伴同侧淋巴结肿大及化脓 6例。经敏感抗生素和抗结核药物联用及外科治疗后均痊愈 ,平均愈合时间为 5 2 .61± 2 4.2 3天。结论 :小儿非结核性分枝杆菌皮肤感染暴发流行很罕见 ,治疗难 ,易反复。
Objective: To investigate the diagnosis and treatment of non-tuberculous mycobacterium infection in infantile intramuscular injection. Methods: Totally 9 cases of Mycobacterium turtle were detected with pus culture and the rest were Staphylococcus epidermidis and Pseudomonas aeruginosa. Pathological examination for tuberculosis-like nodules, infectious granulomas, azithromycin drug selection, the establishment of complex Yan, isoniazid. All incision drainage, local drug wet packing. Results: The latent period of 18 cases of hip infection in children was 48.2 2 ± 2.23 days, of which 4 cases were bilateral infection, 14 cases were unilateral, with ipsilateral lymph node enlargement and suppuration in 6 cases. After the combination of sensitive antibiotics and antituberculosis drugs and surgical treatment were cured, the average healing time was 52.61 ± 2 4.2 3 days. Conclusion: The outbreak of non-tuberculous mycobacterium infection in children is very rare, difficult to treat and easy to repeat.