儿童肺结核误诊原因阐释及儿科结核病诊治新思路

The Reasons for Misdiagnosis of Tuberculosis of Children and the New Ideas of Diagnosis and Treatment for Pediatric Tuberculosis

目的分析儿童肺结核延误诊治的原因,提高临床诊治水平。方法分析5例肺结核儿童的临床资料。结果根据痰检和PPD试验,5例患儿诊断为Ⅲ型肺结核。结论医生对儿童肺结核的警惕性不高和部分肺结核患者临床表现的不典型性是导致儿童肺结核延误诊治的主要原因。

Objective Analysis of the causes of delayed diagnosis and treatment of pulmonary tuberculosis in children, in order to improve the level of clinical diagnosis and treatment. Methods To analyze the clinical data of 5 cases of pulmonary tuberculosis children. Results According tosputum examination and PPD test, 5 cases of children diagnosed as type III tuberculosis. Conclusion Doctor of pulmonary tuberculosis in children has not high vigilance and part of pulmonary tuberculosis patients with clinical manifestations of atypical are the main cause of pulmonary tuberculosis in children of delay in diagnosis and treatment, sputum smear and PPD test have major value for clinical diagnosis.[Key words] Children, Pulmonary tuberculosis, Misdiagnosis, Treatment