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目的:探讨儿童结核性胸膜炎的临床特点和诊治。方法:对上海市公共卫生临床中心呼吸科从2010年3月-2012年6月收治的40例儿童结核性胸膜炎临床资料进行回顾性分析。结果:40例儿童结核性胸膜炎最常见的表现为发热、咳嗽、胸痛、气促及胸腔积液。40例PPD试验78.5%阳性,22.5%阴性;34例血清结核抗体阳性率仅14.7%。结论:儿童结核性胸膜炎以6-14岁最常见;PPD试验有重要诊断价值;在化疗的基础上同时早期应用激素及合理胸腔穿刺等可取得满意疗效。
Objective: To explore the clinical features and diagnosis and treatment of childhood tuberculous pleurisy. Methods: The clinical data of 40 children with tuberculous pleurisy admitted to the Respiratory Department of Shanghai Public Health Clinical Center from March 2010 to June 2012 were analyzed retrospectively. Results: The most common manifestations of tuberculous pleurisy in 40 children were fever, cough, chest pain, shortness of breath and pleural effusion. Forty cases of PPD test were positive for 78.5% and negative for 22.5%. The positive rate of 34 cases was only 14.7%. Conclusion: Tuberculous pleurisy in children is the most common in children aged 6-14 years. PPD test has important diagnostic value. On the basis of chemotherapy, hormone and reasonable thoracentesis can be used early to achieve satisfactory results.