Mykolyshin L I
Probl Tuberk. 2001(1):22-4.
Out of 313 preschool children treated in a specialized children's hospital for local tuberculosis, 23.6% of cases were first diagnosed in phases of reverse development. 12.8% of children cured spontaneously. Local activation as infiltration of intrathoracic lymph nodes and dissemination to the lungs and other organs occurred in 8.1 cases. The activation was seen both in children with spontaneously cured tuberculosis and those after chemoprophylaxis. It is concluded that all the children with newly detected tuberculosis in reverse phase, irrespective of previous chemoprophylaxis, should be treated in hospital with subsequent observation of the phthisiologist.
在一家专门儿童医院接受治疗的313名学龄前儿童中,23.6%的病例是在病情逆转阶段首次确诊的。12.8%的儿童自愈。胸内淋巴结浸润及扩散至肺部和其他器官的局部激活发生在8.1例中。这种激活在自愈性结核病儿童和化学预防后的儿童中均有出现。结论是,所有新发现处于逆转期结核病的儿童,无论之前是否进行过化学预防,都应住院治疗,并随后接受肺病专家的观察。