Ergeshov A
Probl Tuberk. 1989(9):48-51.
Findings of parallel clinical, laboratory and echographic investigations relating to 44 children with various forms of intrathoracic tuberculosis are presented. Echography permitted dividing the patients into two groups. The first group consisted of 14 patients with normal echograms of the liver parenchyma, insignificant extents of intrathoracic tuberculosis at the phase of incomplete consolidation and calcination and normal function of the liver. Aggravation of the process by the echograms (microfocal consolidations) observed in 5 patients accounted for the adverse reactions. The second group included 30 patients with pathological shifts on the echograms of the liver parenchyma at the moment of the registration in the hospital, significant extent of intrathoracic tuberculosis at the phase of infiltration, shifted biochemical indices of the liver function, microfocal parenchymal changes appeared as high amplitude pulses. The ultrasonic procedure allowed to estimate the functional state of the liver, to modulate the chemotherapy scheme and to predict the adverse reactions.
本文介绍了对44例各种类型胸内结核患儿进行的平行临床、实验室及超声检查结果。超声检查可将患者分为两组。第一组有14例患者，其肝实质超声图像正常，胸内结核处于不完全实变和钙化阶段，范围较小，肝功能正常。5例患者超声图像显示病情加重（微灶实变），提示存在不良反应。第二组包括30例患者，入院时肝实质超声图像有病理改变，胸内结核处于浸润阶段，范围较大，肝功能生化指标异常，微灶实质改变表现为高幅脉冲。超声检查可评估肝脏功能状态，调整化疗方案并预测不良反应。
