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我院1989～1996年7年间共收治因接种卡介苗致小儿腋部化脓性淋巴结结核27例,均经手术行病灶清除术治愈,现报道如下。 1 临床资料 27例患儿,年龄3～10个月,平均6个月,均无结核接触史。在出生后于左上臂三角肌下端皮内注射卡介苗0.1ml,接种局部无明显阳性反应。接种后5～9个月(平均6个月),家长在为患儿洗澡或穿衣时无意中发现左腋部有1个(25例)或2个(2例)包块而入院。患儿一般状态好,无结核中毒症状。查体:肺部听诊正常。于左腋部可触及直径约0.5～1.5cm囊性包块,边界清楚,表面光滑,活动度奸或稍有粘连,无触痛,表面皮肤无红肿。化验检查:结核菌素试验,血沉正常或稍快,肺部X线检查无异常
Our hospital from 1989 to 1996, 7 years were treated due to BCG vaccination induced pediatric axillary disseminated lymph node tuberculosis in 27 cases, were cured by surgery line lesions were reported as follows. 1 Clinical data 27 cases of children, aged 3 to 10 months, an average of 6 months, no history of contact with tuberculosis. After birth in the lower extremity deltoid muscle subcutaneous injection of BCG 0.1ml, no significant positive inoculation. Five to nine months after inoculation (mean, 6 months), parents inadvertently found one (25 cases) or two (2 cases) masses on the left axillae for admission to the hospital. Children in general good condition, no symptoms of tuberculosis poisoning. Physical examination: auscultation of the lungs normal. In the left axilla can reach about 0.5 ~ 1.5cm in diameter cystic mass, the border is clear, the surface is smooth, the activity of rape or a little adhesions, no tenderness, the surface of the skin without swelling. Laboratory tests: tuberculin test, ESR normal or slightly faster, no abnormal lung X-ray examination