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目的:探讨儿童肺结核的X线特点,提高其早期临床诊断率。方法:回顾性分析115例儿童肺结核的X线胸片,分析总结其X线表现特点。结果:儿童肺结核病灶分布特点呈上多于下,内多于外的规律,多发病灶多于孤立病灶,非典型多于典型。不规则斑点影48例,斑片状影39例,大片状影8例,气管及支气管旁淋巴结肿大14例,血行播散性肺结核6例。结论儿童肺结核的X线表现非特异性,但只要仔细观察、分析比较各胸片的X线表现,再结合临床资料和实验室检查,是可以得出正确诊断。
Objective: To investigate the X-ray characteristics of children with tuberculosis and improve their early clinical diagnosis rate. Methods: A retrospective analysis of 115 cases of children with pulmonary tuberculosis X-ray, analysis and summary of its X-ray features. Results: The characteristics of distribution of pulmonary tuberculosis in children were more than those in the lower part and the inner part, while the multiple lesions were more than the isolated ones. The atypical ones were more than the typical ones. 48 cases of irregular speckle, patchy shadow in 39 cases, massive shadow in 8 cases, tracheal and bronchial lymph nodes in 14 cases, hematogenous disseminated pulmonary tuberculosis in 6 cases. Conclusion X-ray findings of children with tuberculosis are nonspecific, but as long as careful observation, analysis and comparison of the X-ray findings of each chest radiograph, combined with clinical data and laboratory tests, it is possible to draw a correct diagnosis.