住院儿童结核病79例治疗情况分析(1)
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【摘要】 目的 对我所住院治疗的儿童结核病治疗情况进行临床分析,探讨其特点及疗效。方法 对1997~2005年在我所住院治疗的79例0~14岁儿童结核病进行回顾性分析。结果 9年间在我所住院治疗患者2322例中0~14岁儿童结核病占3.4%,其中男、女各占49.45%和50.6%;婴幼儿占6.3%,学龄前儿童占21.5%,学龄期儿童占72.2%;原发性肺结核占7.6%,血型播散型肺结核占7.6%,继发性肺结核43例,占54.4%,其中菌阳12例,占27.9%;结核性胸膜炎31例(9例合并继发性肺结核),占39.2%,结核性脑膜炎4例(2例合并肺结核),占5.1%,79例中PPD试验强阳性者占87.3%,与肺结核患者密切接触者占49.4%。结论 对PPD强阳性和肺结核密切接触的儿童要高度重视,要定期复查,早期发现,治疗管理是提高儿童结核的治愈率和降低死亡率的关键。
【关键词】 儿童结核;住院;结素试验;诊治水平
Lnpatient treatment of 79cases of tuberculosis children Analysis
WU Hong-mei.
Yanbian TB Preatmenton & Treatment Reseaech Institute,Yanji 133000,China
【Abstract】 Objective To my chidren hospitalized for tuberculosis treatment clinical analysis analysis of the situa-tion and explore its characteristics and efficacy. Methods from 1997 to 2005 I have hospitalization of 79 cases of children aged 0 to 14 tuberculosis were analyzed retrospectively. Results 9 years I have 2,322 ca-ses of hospitalized patients in the 0 to 14-year-olds accounted for 3.4 percent of TB, including male and female respectively 49.45 percent and 50.6 percent; infants, 6.3 per cent, accounting for 21.5 per cent of pre-school children, school-age children accounted for 72.2% of primary pulmonary tuberculosis six ca-ses,accounting for 7.6 percent; type disseminated tuberculosis six cases, accounting for 7.6 percent; 43cases of secondary pulmonary tuberculosis, accounting for 54.4 percent, including 12 cases of positive bac-teria, accounting fou 27.9 percent of TB pleurisy 31 patients (9 patiens with secondary pulmonary tuber-culosis), accounting for 39.2 percent; tuberculous meningitis four cases (two cases with pulmonary tuber-culosis), accounting for 5.1 percent, 79 cases were strongly positive PPD test for 87.3%, and close tuber-culosis patients contas of 49.4%. Conclusion The children of strongly positive PPD and intimate contacting of lung tuberculous will be highly respected, and it is important to be checked and found early ......
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