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儿童支气管淋巴结结核诊断较困难,我们在1986～1991年经过长期随访观察确诊为儿童支气管淋巴结结核者100例。现就其临床表现、胸部X线检查、结核菌素试验以及酶联法测定结核抗体等方面检测进行分析,并探讨其诊断问题。1 临床资料 100例支气管淋巴结结核患者中,男56例,女44例。年龄1～4岁28例;5～8岁48例;9～12岁24例。有明显结核病接触史者32例(其中23例系家庭结核接触史)。发病时症状以咳嗽为最多有79例;其次精神差58例:食欲差57例;体重减轻56例;咯痰21例;手心发热19例;全身发热13例;气急13例。体检均未见颈部浅层淋巴结有显著肿大。
Diagnosis of bronchial lymph node tuberculosis in children more difficult, we in 1986 to 1991 after long-term follow-up observation of children with bronchial lymph node tuberculosis were 100 cases. Now on its clinical manifestations, chest X-ray examination, tuberculin test and ELISA method for the determination of tuberculosis antibody testing and analysis, and to explore its diagnostic problems. 1 Clinical data 100 cases of bronchial lymph node tuberculosis patients, 56 males and 44 females. 28 cases were aged from 1 to 4 years old, 48 cases were from 5 to 8 years old and 24 cases were from 9 to 12 years old. There were 32 cases with obvious history of TB exposure (23 of them were family history of TB exposure). Symptoms onset symptoms of cough up to 79 cases; followed by poor spirit 58 cases: poor appetite in 57 cases; weight loss in 56 cases; expectoration in 21 cases; palmar fever in 19 cases; systemic fever in 13 cases; shortness of breath in 13 cases. Physical examination showed no significant enlargement of the neck superficial lymph nodes.