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目的:分析小儿肺结核的误诊原因,提高小儿肺结核早期诊断水平。方法:对我院2002-01/2007-12间误诊的小儿肺结核47例临床资料进行回顾性分析。结果:47例均被误诊,误诊疾病分别为上呼吸道感染/支气管炎11例,肺炎19例,反复呼吸道感染11例,哮喘5例,支气管异物1例;误诊时间2周~7 a。结论:小儿结核病缺乏灵敏快速的诊断方法、临床表现及胸片表现不典型、临床医师对该病认识不足是导致小儿结核病误诊的主要原因。
Objective: To analyze the causes of misdiagnosis of pediatric pulmonary tuberculosis and to improve the early diagnosis of pulmonary tuberculosis in children. Methods: The clinical data of 47 cases of pediatric pulmonary tuberculosis misdiagnosed in our hospital from January 2002 to December 2007 were analyzed retrospectively. Results: 47 cases were misdiagnosed as misdiagnosed as upper respiratory tract infection / bronchitis in 11 cases, pneumonia in 19 cases, recurrent respiratory tract infection in 11 cases, asthma in 5 cases and bronchial foreign body in 1 case; misdiagnosis time was 2 weeks to 7 years. Conclusion: Pediatric tuberculosis is a lack of sensitive and rapid diagnostic methods, clinical manifestations and chest radiographs are not typical, clinicians lack of understanding of the disease is the main reason leading to misdiagnosis of pediatric tuberculosis.