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本文报导34例青年人和成年人原发结核,年龄14～35岁,症状有发热、疲乏、咳嗽等。以50年代病人的病情较重,60年代以后原发结核的症状普遍较轻,其中2例经淋巴结活检、1例经胸腔手术才明确诊断。X 线所见:主要表现为肺门阴影增大(25/34),其中右侧为主者16例,左侧为主者6例,两侧肺门阴影增大者3例,其次表现纵隔阴影增宽(7/34)。3例同时发现肺内结核病灶,2例X 线检查无异常发现,而尸检证实肺门淋巴结肿大。痰结核菌阳性者2例,皆为X 线检查证明肺部有结核病灶。血沉增快者占80.6%,24例接受结核菌素试验(1个结素单位),结果阳性21
This article reports 34 cases of young and adult primary tuberculosis, aged 14 to 35 years old, the symptoms of fever, fatigue, cough and so on. In the 50’s, the patient’s condition was rather serious. The symptoms of primary tuberculosis after the 1960s were generally mild. Two of them were confirmed by lymph node biopsy and one by thoracic surgery. X-ray findings: the main hilar shadow increased (25/34), of which 16 were the main right on the left side of the main in 6 cases, both sides of the hilar shadow increased in 3 cases, followed by the mediastinum Shadow broadening (7/34). 3 cases also found pulmonary tuberculosis, 2 cases of X-ray examination found no abnormalities, and autopsy confirmed hilar lymph nodes. 2 cases of sputum TB positive, all X-ray examination showed tuberculosis in the lungs. ESR accounted for 80.6%, 24 cases of tuberculin test (1 unit of knot), the result was positive 21