摘要
目的 婴儿初种卡介苗发生卡介苗性淋巴结结核较少见。本文研究其临床特点、诊断、鉴别诊断和预防。 方法 前瞻性研究一所市级儿童医院收治的卡介苗性淋巴结结核。研究因素包括病史、体征、胸部X光片、实验室和病理检查。 结果 15例曾在外院误诊 ,40例均经病变淋巴结切除治愈。病理特点为 :似结核改变 ,镜下可见结核结节内多个郎罕氏细胞、多核巨细胞、类上皮细胞 ,但是均未见结核杆菌。随诊 6～ 2 4个月 ,无复发或全身其他部位结核。 结论 卡介苗性淋巴结结核很少见 ,容易误诊和误治 ,需要与自然感染的淋巴结结核鉴别。预防应着重于菌苗摇匀 ,剂量准确和技术规范。
Objective To study the clinical manifestation of tuberculous lymphadenitis caused by Bacille Calmett-Guterin (BCG) innoculation in infants.Methods 40 infants with tuberculous lymphadenitis were studied prospectively in children's hospital,from clinical symptoms,laboratory findings, X-ray and pathological changes.Results 15 cases coming from other hospitals were misdiagnosed.All of the cases were cured by lymphadenectomy.The pathological findings were similar to tuberculosis except that no tuberculous bacillus was found,and no recurrence was found in 6～24 months follow-up.Conclusion The tuberculous lymphadenitis caused by BCG innoculation rarely happens,which is difficult in diagnosis.It should be differentiated from the natural infected tuberculosis.During BCG innoculation,it is important to shake the bottle equally,to inject with accurate dosage and standardized technique for prevention of the disease.
出处
《小儿急救医学》
2002年第2期88-89,共2页
Pediatric Emergency Medicine
