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1981～1984年南京市婴幼儿卡介苗皮内接种95,766 人,淋巴结肿大65例(0.7‰)。单纯肿大32例,合并化脓33例。原因分析:1.与菌团有关。1983年以前我们忽略了“摇匀”这一环节,王良同志曾指出,卡介苗菌外层有蜡脂,具有强力的粘附作用。苗久置不动,菌体下沉,在蜡脂作用下互相粘连成大小不等的菌团,苗如未经二次摇匀,菌团进入皮内后可引起局部强烈反应。较小菌团由淋巴管输入相应淋巴结内聚集,致使
From 1981 to 1984, 95,766 infants were inoculated intradermally with BCG in Nanjing City, and 65 cases (0.7%) of enlarged lymph nodes. Simple enlargement in 32 cases, combined suppurative in 33 cases. Analysis: 1 and bacteria group. Before 1983, we ignored the “shake” link, Comrade Wang Liang pointed out that the outer layer of BCG lipid wax, with a strong adhesion. Miao long standing, cell sinking, in the role of wax and lipid adhesion to each other into the size of the bacteria group, Miao, such as without secondary shake, bacterial mass into the skin can cause local strong reaction. The smaller bacteria by the lymphatic input corresponding lymph node aggregation, resulting in