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近年来,随着结核发病率上升,加上小儿结核病表现不典型,小儿结核误诊较多,两年来我科共收治小儿结核病28例,其中误诊17例。 1 临床资料 本组男10例,女7例;年龄7个月～14岁。农村13例,城镇4例。临床表现为发热、乏力17例。厌食、消瘦5例,多汗9例,肝脾肿大、咯血、昏迷各1例。住院后经询问结核病接触史、OT试验、胸部X线查及检出结核菌(活检、尸检、手术探查、分泌物涂片及培养)确诊。误诊情况有7例结核性肺炎误诊为5例颈部淋巴结炎和2例支气管肺炎;4例粟粒性肺结核,误诊为1例发热待查、1例脾肿大待查、1例败血症和1例溃疡病。4例结核性脑膜炎误
In recent years, with the rising incidence of tuberculosis, pediatric tuberculosis with atypical cases, children misdiagnosed more tuberculosis, pediatric tuberculosis in our department for two years were treated in 28 cases, of which 17 were misdiagnosed. 1 Clinical data The group of 10 males and 7 females; aged 7 months to 14 years old. 13 cases in rural areas, 4 cases in urban areas. Clinical manifestations of fever, fatigue in 17 cases. Anorexia, weight loss in 5 cases, 9 cases of hyperhidrosis, hepatosplenomegaly, hemoptysis, coma in 1 case. After hospitalization, he was asked to confirm the contact history of TB, OT test, chest X-ray examination and TB test (biopsy, autopsy, surgical exploration, smear and culture). Misdiagnosis of 7 cases of tuberculosis pneumonia misdiagnosed as 5 cases of cervical lymphadenitis and 2 cases of bronchial pneumonia; 4 cases of miliary tuberculosis, misdiagnosed as fever in 1 case, 1 case of splenomegaly, 1 case of sepsis and 1 case Canker disease. 4 cases of tuberculous meningitis mistakes