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儿童肺结核主要表现为肺门或纵隔淋巴结肿大,由于部位、形态及大小不一,以及儿童拍胸片时多不配合常使儿童肺门淋巴结结核及纵隔旁淋巴结结核诊断困难,造成误诊。为此我们将近年来38例有完整资料及胸片的病例分析如下:1.临床资料 本组男20例,女18例,年龄1—4岁10例,～8岁18例,～12岁10例,结核接触史:家庭5例,邻居5例,幼儿园学校9例,共19例,有明显接触史占50％,主要症状:19例以发热为首发症状,8例以咳喘为首发症状。11例以食欲不振、消瘦等原因而来医院就诊,经
Childhood pulmonary tuberculosis is mainly manifested as hilar or mediastinal lymph nodes, due to the location, shape and size, and often do not cooperate when children take chest radiograph often make hilar lymph node tuberculosis and mediastinal lymph node tuberculosis diagnosis difficult, resulting in misdiagnosis. To this end we have 38 cases in recent years with complete information and chest X-ray case analysis is as follows: 1. Clinical data The group of 20 males and 18 females, aged 1-4 years in 10 cases, 8 years old in 18 cases, ~ 12 years old 10 Cases, history of tuberculosis contact: family 5 cases, 5 neighbors, kindergarten school 9 cases, a total of 19 cases, with a clear history of exposure accounted for 50%, the main symptoms: 19 cases of fever as the first symptom, 8 cases of cough and asthma as the first symptom . 11 cases of loss of appetite, weight loss and other reasons come to the hospital for treatment