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頁籤選單縮合
題名 | Radiographic Presentation of Pulmonary Tuberculosis in Young Children=兒童肺結核之放射線影像所見 |
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作者 | 黃健燊; 黃玉成; 林奏延; Wong, Kin-sun; Huang, Yhu-chering; Lin, Tzou-yien; |
期刊 | 中華民國小兒科醫學會雜誌 |
出版日期 | 19990600、19990500、19990600 |
卷期 | 40:3 民88.05-06 |
頁次 | 頁171-175+204 |
分類號 | 417.5141 |
語文 | eng |
關鍵詞 | 兒童肺結核; 放射線影像; 淋巴線腫; Radiography; Pulmonary TB; lymphadenopathy; |
中文摘要 | 從1994年7月到1998年6月,本院共有10位六歲以下診斷為肺結核之病童。 常見胸部X光所見有肺實質變化(4例),瀰散性小結節(3例)。非特異肺浸潤(2例),瀰漫性栗粒狀變化(1例),肋膜腔積水(1例),氣瘤(1例)。雖然其中有六例(60%)病人有肺門╱縱隔腔淋巴腺腫,唯其中四例之後前相X光片判讀肺門正常,以電腦斷層攝影則清晰可見。吾等建議對臨床懷疑有肺結核之幼童,胸部電腦斷層攝影診斷率比例行之後前相攝影優越。 |
英文摘要 | Ten cases of pulmonary tuberculosis (TB) with the isolation of Mycobacterium tuberculosis in patients under 6 years of age occurring between July 1994 and June 1998 were retrospectively reviewed. Radiographs showed air-space consolidation (n=4), micronodular (n=3) and miliary lesions (n=l). Two patients showed non-specific bronchopneumonic infiltrations. Other uncommon radiographic findings include pneumatocele formation and pleural effusion. Lymphadenopathies were detected in 6 (60%) cases using chest radiographs or computed tomography (CT), commonly with involvement of the paratracheal and hilar lymph nodes. However, most lymph node enlargement was not noted in routine postero-anterior (PA) radiographs and usually required a chest CT scan for confirmation. Since lymphadenopathy is common in children with pulmonary TB in Taiwan, we suggest using chest CT scans to detect such pathology in cases of suspected TB if other diagnostic tests are not conclusive. |
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