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目的了解儿童肺结核发病转归情况,为儿童结核病的早期正确诊断提供资料。方法对卢龙县医院8 a中确诊的儿童肺结核患者重新评估分析。结果 96例患者中8~12岁发病率最高为35例(36.45%),双亲患结核病者感染率高,分类中主要为原发型肺结核(Ⅰ型)和粟粒型肺结核(Ⅱ型),痰结核菌镜检阳性率较低,Ⅱ型肺结核病死率高,为7.41%(2/27)。结论儿童结核病临床表现多样化,痰液标本采集困难,诊断手段匮乏,需要进一步加强这一领域的研究。
Objective To understand the prognosis of children with tuberculosis and provide information for the early correct diagnosis of childhood tuberculosis. Methods A retrospective analysis of 8 children diagnosed with tuberculosis in Lulong County Hospital was conducted. Results The highest prevalence rate of 8 ~ 12 years old was 35 cases (36.45%) in 96 patients. The prevalence of tuberculosis in parents was high. The main categories of primary tuberculosis (type Ⅰ) and miliary tuberculosis (Ⅱ) Mycobacterium tuberculosis positive rate was low, type II tuberculosis mortality was high, 7.41% (2/27). Conclusion The clinical manifestations of childhood tuberculosis diversification, sputum specimen collection difficulties, lack of diagnostic tools, the need to further strengthen the research in this area.