儿童结核病（儿科教学课件）PPT.ppt

儿童结核病;国务院新闻发布会 2004-6-29; Tuberculosis, once a romantic 19th-century disease, has returned, reaching epidemic proportions worldwide. One only need remember New York Citys 1991 epidemic. Over one-third of the worlds population has latent tuberculosis; 15 million Americans are infected with this highly contagious, airborne respiratory disease. TB chooses hosts indiscriminately; average middle-class Americans are not immune Reichman , director of National Tuberculosis Center ;湖南爆发结核病恐慌;卡介苗接种;病因 ;Mycobacterium tuberculosis infection of lung is shown here with numerous red rods seen with acid fast staining;The single strand of the acid fast bacteria, mycobacterium tuberculosis ;结核杆菌的耐药性 ;非典型分支杆菌 ;传染途径 ;流行病学 ;Ｋocｈ现象变态反应及免疫 ;结核病的变态反应 ;结核病的免疫 ;个体遗传因素和疾病易感性;病理变化 ;Epithelioid cells fused to form a giant cell, Langhans cell. ;a golden example of a caseating granuloma, caseous necrosis in the center surrounded by a pale pink rim of epithelioid cells. ;;小儿结核病临床分型 ;原发型肺结核 ;原发型肺结核的发生机制;;;原发型肺结核的临床特点 ;急性粟粒性肺结核 ;;;;小儿急性粟粒性肺结核临床特点 ;小儿结核病诊断（一） ;小儿结核病诊断（二）;结核菌素试验 ;反应结果 ;PPD试验阳性临床意义;PPD试验阴性临床意义;小儿结核病活动性判断 ;小儿结核病的治疗 ;一般疗法 ;结核化疗的理论基础 ;药物的浓度和渗透力;化疗方案;激素治疗 ;外科疗法 ;预防性化疗