摘要
儿童肺结核临床症状缺乏特异性,往往同时合并肺外结核,病原学诊断困难。我国儿童结核病存在诊断和报告不足问题,缺乏儿童肺结核诊断的最新指南和共识。为了进一步规范我国儿童肺结核的诊断和管理,由中华医学会结核病学分会儿童结核病专业委员会、中国研究型医院学会结核病学专业委员会、国家呼吸系统疾病临床医学研究中心和儿童呼吸道感染性疾病研究北京市重点实验室牵头,在参考国外儿童结核病诊断指南的基础上,结合国内外儿童肺结核的诊断进展和临床经验,组织国内专家编写了本共识。该共识重点介绍了儿童肺结核的病原学、流行病学、分类、临床表现、实验室和影像学等相关检查、诊断及鉴别诊断标准和流程,旨在提高儿科医师和结核病诊疗人员对儿童肺结核的认识,规范儿童肺结核的诊断。
Pulmonary tuberculosis in children is characterized by the lacking of specific clinical symptoms,often accompanying with extrapulmonary tuberculosis,and having difficulty in etiological diagnosis.Childhood tuberculosis in China is seriously under-diagnosised and under-reported.There is a lack of up-to-date guidelines and consensus on the diagnosis of childhood pulmonary tuberculosis.In order to further improve the diagnosis and management of tuberculosis in children in China,the experts were organized to draw up this consensus by Pediatric Tuberculosis Spe-ciality Committees of Society of Tuberculosis,Chinese Medical Association,Tuberculosis Speciality Committees of Chinese Research Hospital Association,National Clinical Research Center for Respiratory Diseases and Beijing Key Laboratory of Pediatric Respiratory Infection Diseases.The expert consensus based on the foreign diagnosis guides,the diagnostic approvements and clinical experience on pediatric pulmonary tuberculosis.The consensus focuses on the etiology,epidemiology,classification,clinical manifestations,laboratory and imaging examinations,diagnosis and differential diagnosis,aiming at improving the understanding of pediatric tuberculosis among pediatricians and tuberculosis clinicians,and standardizating the diagnosis of pediatric pulmonary tuberculosis.
出处
《中华实用儿科临床杂志》
CAS
CSCD
北大核心
2022年第7期490-496,共7页
Chinese Journal of Applied Clinical Pediatrics
关键词
肺结核
诊断
病原学
临床表现
耐药
儿童
Pulmonary tuberculosis
Diagnosis
Etiology
Clinical manifestations
Drug resistance
Child
