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5年来非结核性分枝杆菌淋巴腺炎住院的患儿明显增多。作者回顾复习1974~1983年10年间收治的患儿资料发现,与细胞内鸟型分枝杆菌复合物(MAI)有关。经仔细核对淋巴组织的大体标本,镜下所见以及针吸标本或活检标本培养分支杆菌,结果有30例患儿(17岁以下者)可共分析。此30例患儿中有16例淋巴结培养非结核分枝杆菌阳性;8例干酪样肉芽肿培养阴性;2例检出粗球孢子菌,1例为结核分枝杆菌,其余3例患儿诊断为肿瘤疾病。作者对培养阳性或病理标本含有非结核性分枝杆菌的24例患儿进行研究,结果培养阳性时的平均年龄是20.5个月;培养阴性的平均年龄是6.7岁。培养阳性持续时间平均5周;培养阴性的是4.25个月。28例患
5 years of non-tuberculous mycobacterial lymphadenitis hospitalized children increased significantly. The authors review the data reviewed in the 10-year period from 1974 to 1983 found that the cells associated with Mycobacterium avium complex (MAI). After careful examination of the gross specimens of lymphoid tissue, microscopic examination and needle aspiration specimens or biopsy specimens cultured mycobacteria, the results of 30 cases of children (17 years of age or less) can be analyzed. Sixteen of these 30 infants were positive for developing non-tuberculous mycobacterium in lymph nodes; eight were negative for caseous granuloma culture; two were Coccidioides sp., One was Mycobacterium tuberculosis and the remaining three were diagnosed For cancer disease. The authors conducted a study of 24 children with positive or pathological specimens containing non-tuberculous mycobacteria. The mean age at culture positive was 20.5 months. The mean age at culture negative was 6.7 years. The average duration of culture positive is 5 weeks; the culture negative is 4.25 months. 28 cases