无反应性结核病是全身粟粒性结核病的一种特殊类型。近年来由于免疫抑制剂、激素、化疗等药物的广泛应用以及脏器移植的开展,其发生率有日益增多的趋势,国内已陆续有病例报告,我院也遇到2例。但都有误诊误治的教训。为了提高对本型结核病的认识,本文试就国内有关文献作一综述。发病机制无反应性结核病多见于经胎盘而感染免疫系统发育尚未健全的婴儿,但也可见于成人,特别是发生在治疗结核病应用皮质激素的过程中。多数实验证明,本病的发病与病原 Atypical tuberculosis is a special type of systemic miliary tuberculosis. In recent years, immunosuppressive agents, hormones, chemotherapy and other drugs widely used and organ transplantation carried out, the incidence of an increasing trend, there have been cases of domestic reports, our hospital also encountered two cases. But all have misdiagnosed and mistaken lessons. In order to raise awareness of this type of tuberculosis, this paper reviews the domestic literature. Pathogenesis of non-responsive tuberculosis more common in the placenta and inflamed infants not yet the sound development of the immune system, but also seen in adults, especially in the treatment of tuberculosis in the process of application of corticosteroids. Most experiments show that the incidence of the disease and pathogen