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临床资料我院从1983年～1989年,共收治小儿肺结核病646例,筛选出异常反应者64例.其中男性39例,女性25例.64例异常反应病例中,0～1岁5例,占8%;1～3岁8例,占13%;3～7岁18例,占29%;8～14岁33例,占50%.男患儿39例,占60.9%;女患儿25例,占39.1%.上述中可以看出8～14岁年龄组占总数的50%.年岁愈小,出现异常现象者越少.一岁以下患儿仅占8%.随年龄的增长,出现异常反应的比例增大.临床及X线表现:在64例异常反应病例中病灶增大46例,占72%;一过性脑膜炎2例,占3.3%;一过性胸膜炎4例,占6.6%;淋巴结破溃7例,占11%;血型播散3例,占4.7%;支气管播散2例,占3.3%.从以上分析中,异常反应现象以病灶扩大者
Clinical data Our hospital from 1983 to 1989, a total of 646 cases of pediatric tuberculosis were treated, screening out 64 cases of abnormal reaction, including 39 males and 25 females.Among the 64 cases of abnormal reaction, 0 to 1 year in 5 cases, Accounting for 8%; 1 to 3 years in 8 cases, accounting for 13%; 3 to 7 years in 18 cases, accounting for 29%; 8 to 14 years in 33 cases, accounting for 50% .39 cases of male children, accounting for 60.9% 25 cases, accounting for 39.1% of the above can be seen in the age group of 8 to 14 accounted for 50% of the total. The younger, the less abnormal phenomenon, less than one year old children accounted for only 8% with age , The proportion of abnormal reaction increased.Clinical and X-ray findings: in 64 cases of abnormal reaction lesions increased in 46 cases, accounting for 72%; transient meningitis in 2 cases, accounting for 3.3%; transient pleurisy in 4 cases , Accounting for 6.6%; 7 cases of lymph node rupture, accounting for 11%; 3 cases of blood group dissemination, accounting for 4.7%; 2 cases of bronchial dissemination, accounting for 3.3% .From the above analysis, the phenomenon of abnormal response to focal enlargement