论文部分内容阅读
本文总结了我院9年间收治的515例小儿结核病的临床特点。由于我省平均海拔较高，大气氧含量较低，加之地域辽阔、交通不便、经济落后等原因，住院治疗的小儿结核病重症类型分，入院时病情重：粟粒型、浸润性肺结核及结核性脑膜炎占51．5％，其中合并急性心衰、急性呼衰者占74％，结脑发生惊厥者占33．12％。本组患儿院外病程一个月以上者占80．6％，而坚持住院治疗1个月以上者仅占63．69％．治疗过程中发生类赫氏反应7例。笔者认为，为提高我省小儿结核病的治疗率，降低死亡率，除进一步加强对群众的卫生知识教育，提高基层医务人员对结核病的认识外，加强对出院病人的随防和管理，指导病人彻底完成全程化疗，亦十分重要。
This article summarizes the clinical features of 515 cases of pediatric tuberculosis admitted to our hospital for 9 years. Due to the higher average elevation of our province and the lower oxygen content in the atmosphere, as well as the vast territory, inconvenient transportation and economic backwardness, the severe type of pediatric tuberculosis treated in our hospital was severe on admission: miliary type, infiltrating tuberculosis and tuberculous meningitis Yan accounted for 51.5%, of which acute heart failure, acute respiratory failure accounted for 74%, convulsions occurred in nodular accounted for 33.12%. This group of children hospitalized more than one month duration accounted for 80.6%, while insisting on hospitalization for more than 1 month accounted for only 63.69%. Hemorrhagic reaction occurred in 7 cases during treatment. In my opinion, in order to improve the treatment rate of pediatric tuberculosis in our province and reduce the mortality rate, in addition to further strengthening the health education of the masses and raising the awareness of grassroots medical staff on tuberculosis, strengthening the prevention and management of discharge patients and guiding patients thoroughly Complete chemotherapy is also very important.