(儿科学英文课件）18 tuberculersis培训资料.pptVIP

wangyuting MD Department of Infectious Diseases, Children’s Hospital of Chongqing Medical University ;EPIDEMIOLOGY - TB;Characteristics of pediatric TB;5. the location of primary focus in lungs is special 6. prognosis is good in most children with primary tuberculosis and lesion is healed with absorption, calcification or scleroma 7. Most of them have contact history with tuberculosis patients 8. The smaller the age, the bigger the PPD-test value;Primary pulmonary tuberculosis;Droplet nuclei inhalation;－;Pathology;1.? Tuberculosis toxic symptoms Low fever, night sweats, anorexia, weight loss,and fatigue 2. Lung clinical manifestatios： Symptoms is mild:dry cough Signs are not obvious generally (signs in lung is not consistent with the lesions in lung lesions not consistent);3.?Oppression symptoms of Bronchial lymph node 4. Extrapulmonary clinical manifestations： 5. others：;Deterioration :Hematogenic spread;Diagnosis ;Diagnosis ;3. auxiliary examination (2) Chest X-ray radiograph: the main diagnostic basis ;3. auxiliary examination (3) CT scan (4) Flexible bronchofiberscope examination (5) Finding tubercle bacillus in sputum or gastric aspirates (6) ESR (7) Antibody of TB;Treatment ;儿童时期结核病的特点(重点、掌握） 原发型肺结核病理（熟悉、了解） 发病机理（了解） 临床表现（重点、掌握） 诊断（重点、掌握） 转归（重点、掌握） 治疗（熟悉、掌握方案及总疗程）;Tuberculous Meningitis;Tuberculous meningitis (TBM);; 1. Brief Descriptions Chronic meningitis. characterized as a meningoencephalitis;A. Leptomeninges diffuse hyperemia edema inflammatory exudates tubercles (Rich focus): discrete and white granules scattered over the leptomeninges caseous necrosis ;B. Subarachnoid Space There are inflammatory exudates in subarachnoid spaces, particularly over the ventral surface of the brain stem( at the base of the brain), obliterating arteries and encasing cranial nerves(VII, III, VI,etc.). ---Basal meningitis;C. brain parenchyma Tubercle, tuberculoma, and caseous necrosis;PATH