期刊论文

中文

临床儿科杂志

1000-3606

2022

40

4

274-278

10.12372/jcp.2022.21e1202

本校为第一机构

目的探讨儿童胸膜结核瘤(PTM)的临床、影像学特征与疗效,提高对该疾病的认识。方法回顾性分析36例PTM患儿的临床资料。结果36例患儿中男24例、女12例;农村26例、城市10例;中位年龄10.0(7.3~13.8)岁,0~5岁4例,~10岁11例,~14岁12例,>14岁9例。均有明确结核性胸膜炎病史。胸部CT扫描均提示PTM典型表现,单发病灶30例,多发病灶6例;病变位于右侧22例,左侧12例,双侧2例。均以异烟肼+利福平+吡嗪酰胺为核心抗结核方案,其中在抗结核治疗6月出现3例。诊断为PTM后,25例维持原方案治疗,4例联用利奈唑胺、3例联用乙胺丁醇,手术治疗4例。34例治愈,2例处于治疗中。结论儿童PTM多发生在大龄男童结核性胸膜炎抗结...

Objective To investigate the clinical imaging features and efficacy of pleural tuberculoma(PTM)in children,and to improve the understanding of this disease.Methods The clinical date of 36 children diagnosed with PTM were retrospectively analyzed.Results Among the 36 patients(24 boys and 12 girls),26 were from rural areas and 10 were from urban areas,and the median age was 10.0(7.3-13.8)years.Four children were 0-5 years old,11 were 5-10 years old,12 were 10-14 years old,and 9 were>14 years old.All the children had a clear history of tuberculous pleurisy.Chest CT scans showed typical manifestat...