中国防痨杂志2018，Vol.40Issue(3)：259-262,4.DOI:10.3969/j.issn.1000-6621.2018.03.009
儿童肺结核的诊断进展
Advances in the diagnosis of childhood pulmonary tuberculosis
李惠民 1赵顺英1
作者信息
- 1. 100045 首都医科大学附属北京儿童医院呼吸二科
- 折叠
摘要
Abstract
On November 9,2017,the health standard of the People's Republic of China "Diagnosis for pulmonary tuberculosis (WS 288-2017)" was introduced.The author would like to explain and analyze the new standard,focusing on several issues of children's tuberculosis,combined with the literature to discuss the advances in the diagnosis of tuberculosis in children.Clinical manifestations,imaging findings,a history of close contact with tuberculosis patients and Tuberculin Skin Test are the main basis for the clinical diagnosis of tuberculosis in children.Gamma-interferon release assay has better specificity than the tuberculin skin test.When pulmonary tuberculosis is suspected in children,efforts should be taken to keep two or more specimens including gastric juice,sputum or nasopharyngeal aspirate for smear microscopy,solid and liquid culture and molecular test to increase the positive rate of the pathogen.Bronchoscopy should be performed when airway involvement is suspected.Xpert MTB/RIF positive results can be used as the etiological basis for the diagnosis of pediatric pulmonary tuberculosis.关键词
儿童/结核,肺/诊断/评论Key words
Child/Tuberculosis, pulmonary/Diagnosis/Comment引用本文复制引用
李惠民,赵顺英..儿童肺结核的诊断进展[J].中国防痨杂志,2018,40(3):259-262,4.
