36例儿童肺结核误诊分析

Analysis on Misdiagnosis of 36 Children with Pulmonary Tuberculosis

目的探讨儿童肺结核临床特点,减少误诊。方法我院2000-2006年诊断明确的儿童肺结核78例中36例误诊进行回顾性分析。结果儿童肺结核临床症状及X线表现不典型,体征不明显,临床医师重视不够,导致误诊率高。结论为了减少儿童肺结核误诊率,必须提高诊断水平和鉴别诊断能力,综合分析,减少误诊。

Objective To explore the clinical features of pulmonary tuberculosis in children, and to decrease misdiagnosis rate. Methods We perfor.med retrospective analysis on 36 cases which were misdiagnosed out of 78 cases of pulmonary tuberculosis in Children during the period of 2000- 2006. Results Clinical symptoms and X- ray appearance were not typical and the physical sign was not obvious in children with pulmonary tuberculosis, clinical doctors paid less attention to diagnosis, all of these causes leaded to higher misdiagnosis rate. ConcluSions In order to decrease misdiagnosis rate of pulmonary tuberculosis in children, we must raise diagnosis level and differential diagnosis ability, analyze cases comprehensively, and decrease misdiagnosis rate.