Larsson L O, Bentzon M W, Berg Kelly K, Mellander L, Skoogh B E, Strannegård I L, Lind A
Department of Pulmonary Medicine, University of Göteborg, Sweden.
Acta Paediatr. 1994 Oct;83(10):1091-4. doi: 10.1111/j.1651-2227.1994.tb12992.x.
We studied 3592 Swedish schoolchildren, 8 or 9 years old, examined for palpable submandibular, cervical and supraclavicular lymph nodes. All children were skin tested with 2 TU PPD RT23 and with 0.1 microgram of Mycobacterium avium sensitin or 0.1 microgram of M. scrofulaceum sensitin. A total of 991 children had palpable lymph nodes in any of the three locations. Among them, 811 had lymph nodes in one location, 162 in two locations and 18 in three. In 312 children, the lymph nodes were > or = 5 mm in size in any location. The most common location was submandibular. Boys had a significantly higher prevalence of palpable lymph nodes than girls. There was also seasonal variation. Children infected by atypical mycobacteria (sensitin reaction > or = 6 mm) did not have a higher prevalence of palpable lymph nodes than those not infected.
我们研究了3592名8或9岁的瑞典学童,检查了他们是否可触及下颌下、颈部和锁骨上淋巴结。所有儿童均用2个结核菌素单位(TU)的PPD RT23以及0.1微克鸟分枝杆菌变应原或0.1微克瘰疬分枝杆菌变应原进行皮肤试验。共有991名儿童在上述三个部位中的任何一处可触及淋巴结。其中,811名儿童在一个部位有淋巴结,162名在两个部位有淋巴结,18名在三个部位有淋巴结。在312名儿童中,任何部位的淋巴结大小均≥5毫米。最常见的部位是下颌下。男孩可触及淋巴结的患病率显著高于女孩。也存在季节性变化。非典型分枝杆菌感染(变应原反应≥6毫米)的儿童可触及淋巴结的患病率并不高于未感染儿童。