结素强阳性儿童肺结核发病关系之探讨

AN Examination of the Relationshipbetween Being Tuberculin Test Strongly Positive and the Development of Tuberculosis among the Child Patients

目的 结素强阳性与肺结核之关系。方法 经三年随访观察 45例结素反应强阳性儿童胸片情况 ,并对其中 10例原发肺结核随访治疗进行分析。结果 45例儿童中肺强核 10例 ,肺门 hilan old lesions 13例 ,肺部感染 7例 ,心肺无异常 15例。 noscan10例 ,其中需抗痨治疗者 2例 (2 0 % ) ,1个卡疤 2 3例 ,需抗痨 5例 (2 1.7% ) ,2个卡疤 12例 ,需抗痨 3例 (2 5 % )。结论 45例结素反应强阳性儿童经三年随访观察 ,10例需要抗痨治疗 ,其余仅对症抗炎或随访观察即可 ,可见结素强阳性并非抗痨指征 ,此外 ,捍出重复的接种

Purpose To explore the relationship between being tuberculin test strongly positive and the development of tuberculosis.Method Forty-five child patients with tuberculin test being strongly positive have been followed and examined based on the X-ray reading for three years. The data analysis have also been conducted on the 10 tuberculosis cases.Results Among the 45 cases, 10 had tuberculosis, 13 had hilar old lesion, 7 had pulmonary infection, and 15 had no abnormal findings in the heart and lung checkup.Among the 10 cases with no scar, only 2 (20%) needed anti-tuberculosis treatment.Among 23 cases with 1 scar, 5 (21.7%) needed anti-tuberculosis treatment.Among 12 cases with 2 scars, 3 (25%) needed anti-tuberculosis treatment. The data showed that only 10 out of the 45 children with tuberculin test being strongly positive needed anti-tuberculosis treatment.Conclusion Children with tuberculin test being strongly positive may not represent the characteristics of anti-tuberculosis. Also, the repeated use of BCG did not provide extra protection for those children.