先天性肺结核:胸片在诊断中的价值

Congenital Tuberculosis: The Diagnostic Value of Chest X-ray Film

目的 探讨胸部X线片在先天性肺结核中的诊断价值。材料与方法 对 1992年 10月～ 1999年 4月经细菌学检查或尸解证实的先天性肺结核 5例进行分析。结果 肺部X线表现虽复杂多变 ,但有两种形式的表现仍具有一定的特征性 :(1)弥漫性粟粒病变 ;(2 )广泛分布的斑片 结节病变。结论 胸部X线片在先天性肺结核的诊断中具有十分重要的作用 ,它常能首先提出诊断 ,引导临床及时确诊和治疗 ,降低死亡率。

Objective To evaluate plain chest film in the diagnosis of congenital tuberculosis.Materials and Methods X ray findings in 5 cases with congenital tuberculosis, proved with bacteriology or autopsy and encountered during 1992～1999 at the authors' hospital, were retrospectively analyzed.Results Though the pulmonary X ray manifestations were complex and variable, two patterns were considered to be comparatively characteristic: (1) diffuse miliary pattern, and (2) wide spread patch nodular pattern.Conclusion Chest X ray film plays a very important role in the diagnosis of congenital tuberculosis, providing physicians with radiological clues leading to the correct diagnosis.