Radiographic Presentation of Pulmonary Tuberculosis in Young Children

兒童肺結核之放射線影像所見

黃健燊(Kin-Sun Wong) ； 黃玉成(Yhu-Chering Huang) ； 林秦延(Tzou-Yien Lin)

《Acta Paediatrica Sinica》 40卷3期 (1999/06) Pp. 171-175

https://doi.org/10.7097/APS.199906.0171

摘要

從1994年7月到1998年6月，本院共有10位六歲以下診斷爲肺結核之病童。常見見胸部X光所見有肺實質變化(4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、從隔腔淋巴腺腫，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。

關鍵字

放射線影像 ； 兒童肺結核 ； 淋巴腺腫

並列摘要

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=1). 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 radio graphs 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) radio graphs 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.

並列關鍵字

radiography ； pulmonary TB ； lymphadenopatby