摘要
Abstract
purpose:Objective to investigate the clinical manifestations and laboratory characteristics of congenital tuberculosis,In order to improve the diagnosis rate.Method:In the past 20 years, a total of 8 children with congenital tuberculosis were diagnosed in our hospital,Retrospective summary analysis,Early diagnosis of congenital tuberculosis.Result:The main symptoms include fever,cough,Abdominal distention;Signs mainly include:Hepatosplenomegaly,Especialy splenomegaly,Emaciation;The mother of 4 cases diagnosed as tuberculous pleurisy,3 cases were diagnosed as tuberculosis,1 cases without any symptoms(Chest X-ray was normal, and his father was pulmonary tuberculosis).Chest radiography was abnormal in 8 cases,6 cases of miliary nodular shadows,4 cases had lymph node disease.But the acid fast bacili smear and culture positive rate is low,Only 25% positive rate.In 8 cases of tuberculin tests were negative.Conclusion:Although the difficulty of early diagnosis of congenital pulmonary tuberculosis,But a careful inquiry into the history of infection of his mother and family members,Supplemented by chest CT,Abdominal ultrasonography can improve the early diagnosis rate.关键词
先天性结核/诊断/临床特点Key words
Congenital tuberculosis/Diagnosis/Clinical characteristics
