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[超敏结核菌素易感性儿童和青少年的肺结核:临床及X线特征与检测方法]

[Pulmonary tuberculosis in children and adolescents with hyperergic tuberculin susceptibility: clinical and X-ray characteristics and methods of detection].

作者信息

Kuz'mina I K, Gubkina M F

出版信息

Probl Tuberk Bolezn Legk. 2009(1):20-3.

Abstract

The clinical characteristics of pulmonary tuberculosis and its detection methods were studied in patients with hyperergic (Group 1, n = 84) and another (Group 2, n = 75) tuberculin susceptibility. The groups were identical in clinical, X-ray, and laboratory characteristics. The major clinical forms were infiltrative (35.2%) and thoracic lymphatic tuberculosis (34%). Mass tuberculin diagnosis revealed 64.7% of children with hyperergic susceptibility, which confirms the topicality of this technique in the early detection of tuberculosis in children. This technique was realized in adolescents with hyperergic susceptibility to a lesser degree (12.1%). Overall, 55.9% of patients with hyperergic tuberculin susceptibility (mainly adolescents) were identified by X-ray studies performed routinely and if there were clinical indications. In these cases, individual tuberculin diagnosis was used when X-ray changes were found.

摘要

对结核菌素高敏反应患者(第1组,n = 84)和另一组结核菌素敏感性患者(第2组,n = 75)的肺结核临床特征及其检测方法进行了研究。两组在临床、X线和实验室特征方面相同。主要临床类型为浸润性(35.2%)和胸内淋巴结结核(34%)。大规模结核菌素诊断显示,64.7%的结核菌素高敏反应儿童呈阳性,这证实了该技术在儿童结核病早期检测中的适用性。该技术在结核菌素高敏反应青少年中的应用程度较低(12.1%)。总体而言,55.9%的结核菌素高敏反应患者(主要是青少年)是通过常规进行的X线检查以及有临床指征时发现的。在这些病例中,当发现X线改变时采用个体结核菌素诊断。

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