Vidal López M L, del Cerro Marín M J, García de Miguel M J, Borque Andrés C, del Castillo Martín F, de José Gómez M, García-Hortelano J
Servicio de Infecciosos, Hospital Infantil La Paz, Madrid.
An Esp Pediatr. 1990 Jan;32(1):15-9.
One hundred and forty-nine cases of childhood pulmonary tuberculosis were analysed being a 77.6% of the 192 cases of tuberculosis diagnosed at the Pediatric Infectious Diseases Department of "La Paz" Hospital, in a ten year period. The children were aged 3 months to 14 years; 65% of them were less than 6 years of age. The source case was found in 67.1% of the children. The primary means of diagnosis was contact screening (38.1%), followed by a 27.5% that presented with non-specific symptoms, while 18.1% of the cases presented with respiratory symptoms. Gastric aspirates yield the organism in 25.8% of cases. Radiologically the following was found: 38.9% mixed patterns, 32.2% nodal patterns, 23.4% parenchymal patterns, 1.34 miliary tuberculosis, 1.34% caverns and 2.68% pleural effusions. Right lung location was more frequent in parenchymatous forms (68%), as well as in nodal forms (61.5%). The duration of the course of therapy changed along this ten years period: from twelve months initially to ten months posteriorly, subsequently becoming a six month course of treatment. All cases experienced full recovery.
对149例儿童肺结核病例进行了分析，这些病例占“拉巴斯”医院儿科传染病科在十年期间确诊的192例结核病病例的77.6%。患儿年龄在3个月至14岁之间；其中65%年龄小于6岁。67.1%的患儿找到了传染源。主要诊断方式为接触筛查（38.1%），其次是27.5%表现为非特异性症状的患儿，而18.1%的病例表现为呼吸道症状。25.8%的病例通过胃抽吸物培养出病原体。放射学检查结果如下：38.9%为混合型，32.2%为结节型，23.4%为实质型，1.34%为粟粒型肺结核，1.34%为空洞型，2.68%为胸腔积液。实质型（68%）和结节型（61.5%）中右肺受累更为常见。在这十年期间治疗疗程有所变化：最初为12个月，之后变为10个月，随后又变为6个月疗程。所有病例均完全康复。
