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我院自1985～1993年被漏诊而最终确诊为急性粟粒性肺结核病患儿共11例,现分析如下。 临床资料男5例,女6例;年龄3个月至10岁。临床表现有发热10例,咳嗽5例,气急2例,头痛3例,呕吐2例,浅表淋巴结肿大7例,出现脑膜刺激征2例,肺部湿罗音4例,轻、中度贫血6例,白细胞和血沉增快7例,上述表现与病情轻重无关;胃液结核菌检查阳性5例。胸片显示典型粟粒阴影6
Our hospital from 1985 to 1993 were missed and finally diagnosed as acute miliary tuberculosis in children with a total of 11 cases, are analyzed as follows. Clinical data of 5 males and 6 females; aged 3 months to 10 years old. Clinical manifestations were fever in 10 cases, cough in 5 cases, 2 cases of shortness of breath, headache in 3 cases, 2 cases of vomiting, superficial lymph nodes in 7 cases, 2 cases of meningeal irritation, lung wet rales in 4 cases, mild to moderate Anemia in 6 cases, white blood cells and erythrocyte sedimentation rate increased in 7 cases, the above performance has nothing to do with the severity of the disease; gastric mucosal TB test positive in 5 cases. Chest radiograph shows typical miliary shadow 6