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为了提高对产后急性粟粒型肺结核的认识,对我院传染科1994～1997年所收治的9例病例作一分析。 1 临床资料 1.1 一般资料 9例均为来自农村的育龄妇女,年龄22～27岁。2例有肺结核接触史,均未接种过卡介苗和否认有肺结核病史,产前均无呼吸道症状,肺部听诊正常。1.2 临床表现 9例均正常分娩后1周内发病,病程最长120天,最短30天,高热4例,低热5例,盗汗8例,咳嗽、咳痰5例。声音嘶哑2例,头痛5例,呕吐2例,无胸痛和咯血。查体9例患者均全身衰弱、呼吸20～26次/分,肺部无明显阳性体征4例,湿性(口罗)音2例,呼吸音减弱3例,肝脾轻度肿大1例,脑膜刺激征阳性5例,巴彬斯基征阳性4例。外周血白细胞升高5例,痰
In order to raise awareness of postpartum acute miliary tuberculosis, an analysis of 9 cases admitted to our department of infectious diseases from 1994 to 1997 was conducted. 1 Clinical data 1.1 General Information 9 cases are from rural women of childbearing age, aged 22 to 27 years. 2 cases had history of exposure to tuberculosis, neither had BCG vaccination nor denied history of tuberculosis, no respiratory symptoms in prenatal period and normal auscultation in lung. 1.2 Clinical manifestations of 9 cases were normal delivery within 1 week after the onset of the longest duration of 120 days, the shortest 30 days, 4 cases of fever, fever in 5 cases, night sweats in 8 cases, cough, sputum in 5 cases. Hoarseness in 2 cases, headache in 5 cases, vomiting in 2 cases, no chest pain and hemoptysis. 9 cases of patients were all body weakness, breathing 20 to 26 beats / min, lung no obvious positive signs in 4 cases, wet (oral Luo) sound in 2 cases, 3 cases of decreased breath sounds, liver and spleen mild enlargement in 1 case, Meningeal irritation positive in 5 cases, Babinski sign positive in 4 cases. Peripheral white blood cells increased in 5 cases, sputum