人民卫生出版社系列期刊
ISSN 2096-2738 CN 11-9370/R

中国科技核心期刊(中国科技论文统计源期刊)
2020《中国学术期刊影响因子年报》统计源期刊

新发传染病电子杂志 ›› 2022, Vol. 7 ›› Issue (2): 76-78.doi: 10.19871/j.cnki.xfcrbzz.2022.02.016

• 病例报道 • 上一篇    下一篇

幼儿结核性肺脓肿CT误诊1例

黄育斌, 刘永熙, 郭庆禄, 黄煌   

  1. 广东省妇幼保健院放射科,广州 511400
  • 收稿日期:2021-10-21 出版日期:2022-05-31 发布日期:2022-07-07
  • 通讯作者: 黄煌,Email:5911513@qq.com

CT misdiagnosis of lung tuberculous abscess: case report

Huang Yubin, Liu Yongxi, Guo Qinglu, Huang Huang   

  1. Department of Radiology, Guangdong Women and Children Hospital, Guangzhou 511400, China
  • Received:2021-10-21 Online:2022-05-31 Published:2022-07-07

摘要: 婴幼儿免疫系统尚未发育成熟,感染结核分枝杆菌后易血行播散至全身。然而患儿临床表现常不典型,给临床诊疗带来困难。CT检查对婴幼儿肺结核具有重要临床意义,虽然其CT表现不一,但仍具有一定的特征。当CT检查发现肺内肿块伴多发囊变,周围见多发斑片影,同时伴有淋巴结肿大时,应考虑结核性肺脓肿的可能,需进一步寻求临床证据,以制定最佳治疗方案。本文对广东省妇幼保健院收治的1例幼儿结核性肺脓肿患者CT误诊为胸膜肺母细胞瘤伴淋巴结诊疗情况进行介绍,旨在提高幼儿肺结核的临床诊疗水平。

关键词: 计算机断层成像, 婴幼儿, 结核, 肺脓肿

Abstract: The immune system of infants is immature, it is easy to cause widespread infections via blood once they infected with mycobacterium tuberculosis. However, the clinical manifestations of infants are often atypical, which make clinical diagnosis and treatment challenging. CT scan is of great clinical significance to infant tuberculosis, although its CT findings are diverse, but still has certain characteristics. When lump sand cystic lesions showed in lung, accompanied by multiple patches and lymph nodes swelling, pulmonary abscesses should be considered. And further clinical evidence should be promptly sought to develop a better treatment program. This paper introduces the diagnosis and treatment of a child with tuberculous pulmonary abscess misdiagnosed as neuroblastoma with lymph nodes by CT in Guangdong Women and Children Hospital, in order to improve the clinical diagnosis and treatment level of child tuberculosis

Key words: Computed tomography, Infant, Tuberculosis, Pulmonary abscess