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急性粟粒性肺结核(acute miliary pulmonary tuberculosis,AMPT)的发病率近年已显著减少,但误诊漏诊情况仍较突出。1983午7月～1992年6月间在外院(第一就诊单位)误诊、漏诊或发热待诊1个月以上诊断不明的63例患儿,最终在我院确诊为AMPT。现分析报告如下。 临床资料: 1.一般资料:误诊32例,漏诊4例,待诊27例。男34例,女29;年龄<1岁20例,～3岁12例,～7岁14例,～14岁17例。92.1％(58/63例)来自县以下农村。68％冬春季发病。46％有结核病接
The incidence of acute miliary pulmonary tuberculosis (AMPT) has been significantly reduced in recent years, but the misdiagnosis and missed diagnosis are still prominent. From July 1983 to June 1992, 63 patients with misdiagnosis, missed diagnosis or fever diagnosed more than one month with unknown diagnosis were finally diagnosed with AMPT in our hospital. The analysis report is as follows. Clinical data: 1. General information: 32 cases were misdiagnosed, 4 cases missed diagnosis, 27 cases were treated. There were 34 males and 29 females; 20 were aged <1 year old, 12 were aged ~ 3 years, 14 were ~ 7 years old and 17 were aged ~ 14 years. 92.1% (58/63 cases) came from the countryside below county. 68% winter onset. 46% have tuberculosis access