Lowe J E, Daniel T M, Richer C, Wolfe W G
J Thorac Cardiovasc Surg. 1980 Aug;80(2):221-4.
A major change has occurred in the incidence and management of pulmonary tuberculosis in patients of all ages. This review emphasizes the effectiveness of drug therapy and the declining role of surgical management of pulmonary tuberculosis in children. Surgical intervention was necessary in only two of 140 children (1.4%) with proved tuberculosis, one for a large tuberculoma and the other for refractory involvement of the chest wall. The remaining 138 children were treated successfully with anti-tuberculous drugs. Pulmonary tuberculosis in children is primarily a medical disease and only rarely is surgical intervention indicated.
各年龄段患者肺结核的发病率和治疗方式都发生了重大变化。本综述强调了药物治疗的有效性以及手术治疗在儿童肺结核治疗中作用的下降。在140例确诊为肺结核的儿童中，仅2例（1.4%）需要手术干预，1例是因为巨大结核瘤，另1例是因为胸壁难治性受累。其余138例儿童通过抗结核药物治疗成功。儿童肺结核主要是一种药物治疗的疾病，仅在极少数情况下需要手术干预。
