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粟粒结核在儿童较易诊断,中年和老年人常有合并症,隐袭发病,特异症状和体征较少。Linell等1960—1964年尸检的6606例中发现活动性结核102例,21例系粟粒结核,其中15例(大多数年龄在70岁以上)生前未确诊。本病常见的临床表现有:疲乏无力,食纳减退,体重下降,发热和咳嗽。伴有头痛和腹痛者应怀疑脑膜或腹腔结核。部分患者肝脾及淋巴腺肿大。早期发现脉络膜结节有重要意义,常为双侧性,单个、二个或多发结节,表现为边缘不清楚的椭圆形灰白色斑块。
Miliary tuberculosis in children easier to diagnose, middle-aged and elderly patients often have complications, insidious disease onset, specific symptoms and signs less. Linell and other 19606-1964 autopsies found in 6606 cases of active tuberculosis in 102 cases, 21 cases of miliary tuberculosis, of which 15 cases (most of the age of 70 years of age) were unidentified during their lifetime. Common clinical manifestations of this disease are: fatigue, loss of appetite, weight loss, fever and cough. Men with headache and abdominal pain should be suspected of meningeal or abdominal tuberculosis. Some patients with enlarged liver and spleen and lymph nodes. Early detection of choroidal nodules have important implications, often bilateral, single, two or multiple nodules, the performance of the edge of the oval-shaped gray patches unclear.