Markova E F, Gasparian A A
Probl Tuberk. 1989(10):18-21.
During the period from 1968 to 1987, 50 children, adolescent and adult patients with acute disseminated tuberculosis of the lung were examined in a Republican Tuberculosis Hospital. It was concluded that the number of patients with that form of tuberculosis increased within the last 10 years and the classic form of acute disseminated tuberculosis undergone reversion. The onset and process of such tuberculosis were acute and had the classic characteristics in the children. In the adults, they were observed less frequent. The onset of the disease and its signs in the adults were rarely pronounced. The x-ray picture was typical in all the cases. Children under 5 years from tuberculous infection foci with defective vaccination or not vaccinated at all predominated among the patients. It was demonstrated that in all the age groups the central nervous system was the most frequent localization site of acute disseminated tuberculosis. In the majority of the patients the disease detection was late and the outcomes were severe.
1968年至1987年期间,在一家共和国结核病医院对50例儿童、青少年及成人急性播散性肺结核患者进行了检查。得出的结论是,在过去10年中,这种形式的结核病患者数量有所增加,经典的急性播散性肺结核形式发生了转变。这种结核病的起病和病程在儿童中是急性的且具有典型特征。在成人中,其发生频率较低。成人的疾病起病及其体征很少明显。所有病例的X线表现均典型。患者中5岁以下来自结核感染灶、疫苗接种不完善或根本未接种疫苗的儿童占多数。结果表明,在所有年龄组中,中枢神经系统是急性播散性肺结核最常见的定位部位。大多数患者疾病发现较晚,预后严重。