原发性肝结核文献记载不多,儿童患者更属少见,我院曾收治1例,兹报导如下:患者,女,10岁,1977年9月23日入院。病儿于入院前十多天渐感右上腹有包块隆起,伴隐痛,无明显畏寒、发热,无咳嗽及呕吐,二便正常,发病后胃纳渐减。以往健康,家中无结核病者。入院检查:体温36.9℃,神志清,一般情况尚好,无皮疹及黄疸。右腋下有一鸽旦大淋巴结,质硬、稍活动、无触痛,心肺无特殊。腹软,右上腹隆起,肝上界于右锁骨中线6肋间,下界于右肋下10厘米,剑突下8厘米,质硬,触痛明显,脾未扪及。血常规检查无特殊,血沉66毫米/小时,肝功能检查麝香草酚浊度试验2单位,脑磷脂胆固醇絮状试验(一), Little documented primary liver tuberculosis, children are more rare patients, our hospital had admitted a case, it is reported as follows: The patient, female, 10 years old, September 23, 1977 admission. Sick children in the hospital more than 10 days gradually feel the right upper quadrant with bulging bulge, with pain, no obvious chills, fever, no cough and vomiting, two will be normal, reduced appetite after onset. Past health, no tuberculosis at home. Admission examination: body temperature 36.9 ℃, clear consciousness, the general situation is good, no rash and jaundice. There is a pigeon in the right armpit once a large lymph node, hard, slightly active, no tenderness, no special cardiopulmonary. Abdominal soft, right upper quadrant bulge, the upper boundary of the liver in the right subclavian midline 6 intercostal lower bound in the right rib 10 cm, 8 cm below the xiphoid, hard, tenderness, spleen not palpable. No abnormal blood tests, ESR 66 mm / h, liver function tests thymol turbidity test 2 units, brain phospholipid cholesterol flocculus test (a),