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目的 总结儿童结核性胸膜炎的特点 ,减少误诊 ,并探讨治疗方法。方法 对 1993～ 1999年我院住院资料完整的 2 2例儿童结核性胸膜炎采用回顾性分析 ,并对同期住院资料完整的成人结核性胸膜炎进行随机取样 ,选择了 4 0例作为对照组。结果 儿童结核性胸膜炎以纳差、发热、咳嗽症状较多见 ,合并症少 ,药物性肝炎的发生率低 ,实验室检查提示血结核抗体阳性率低 ,易延误诊断 ;PPD试验及胸部CT有助诊断。结论 掌握儿童结核性胸膜炎的临床特点 ,综合分析 ,早期诊断 ,合理治疗 ,可取得较好疗效。
Objective To summarize the characteristics of childhood tuberculous pleurisy, reduce misdiagnosis, and explore the treatment. Methods A retrospective analysis was performed on 22 children with tuberculous pleurisy who were hospitalized in our hospital from 1993 to 1999. Randomly sampled adult tuberculous pleurisy with hospitalization data in the same period and 40 cases were selected as the control group. Results Childhood tuberculous pleurisy with anorexia, fever, cough symptoms are more common, less comorbidities, the incidence of drug-induced hepatitis is low, laboratory tests suggest that the low rate of blood TB antibody, easy to delay diagnosis; PPD test and chest CT Help diagnosis. Conclusion To grasp the clinical features of children with tuberculous pleurisy, comprehensive analysis, early diagnosis and reasonable treatment, can obtain better curative effect.