Baccialone J, Gendrel D, Kalifa G
Service Radiologie, Hôpital Saint-Vincent-de-Paul, Paris.
Ann Pediatr (Paris). 1992 May;39(5):281-8.
Pulmonary tuberculosis is still a common disease in children, especially those of immigrant families. Prevention and diagnosis rest on the plain chest film which should remain the first step of the work-up. Apart from cerebromeningeal complication, CT scan is also useful for evaluating chest lesions including mediastinal lymphadenopathies and lung parenchyma involvement. CT scan combined with endoscopy ensures detection of complications including bronchogenic dissemination. With a few cases as illustrations, the role of roentgenographic investigations in the management of pediatric tuberculosis is outlined.
肺结核在儿童中仍然是一种常见疾病，尤其是移民家庭的儿童。预防和诊断依赖于胸部平片，胸部平片应始终是检查的第一步。除了脑膜并发症外，CT扫描对于评估胸部病变（包括纵隔淋巴结肿大和肺实质受累）也很有用。CT扫描与内镜检查相结合可确保检测到包括支气管播散在内的并发症。本文通过几个病例说明，概述了X线检查在儿童结核病管理中的作用。
