儿童肺结核的临床诊断标准和治疗方案(试行)

:,100045,()80,,,,,(),[]1.:,X,,2.:,,,,X:(),,CT:X,5PPD():59mm(+),1019mm(++),20mm(+++)(++++),(+),,(++),(BCG),,11BCG15mm1BCGIFN2:PPD(QuantiFERON2TBIFN2kit),,,,,,,:3,,,:(1)(PCR):PCR;(2)(NAA):2000FDANAA,,,,[]94220064444ChinJPediatr,April2006,Vol44,No142[mg/(kgd)]10(300mg/d)()10(450mg/d)2030(0175g/d)203015251015101510151015(0175g/d)150200:11;21X;31:;41[]11:2,;21X:;31;41;51;61;71,;8112,34672,12,58,[]:(1):,pH,,,,,,,,,,,(2):(MIC)10,;10,MIC10,,MIC10,MIC10,,11:,,,;21:,,;31:,,;41:;51:,,;61:(1):,23,(2)():,,692:11,10mg/(kgd),21SM,,20mg/(kgd),0175mg/d305220064444ChinJPediatr,April2006,Vol44,No14369HR3HRZ/36HR2SHRZ/1HRZ/6HR/3H3:,H,R,Z,S3HRZ/36HR3,3633H[]1.(INHH):(1):,90%(2),,,(3)INH,,,(4),INH,10mg/(kgd)2.(RFPR):(1)1hRFP,,(2),1h1/3(3)RFPINHEBINHRFP,(4)RFP,INH,INHRFP,10mg/(kgd),RFPPZA(5)SMINHRFP3.(PZAZ):(1)PZA,pH510515(2)PZA,,PZAPZA(3)PZA(4)PZA,2030mg/(kgd),3,,(5),PZAINH,INH+RFP+PZA4.(SMS):(1),pH,,,(2)(3),2030mg/(kgd),0175g2,,(4)5.(EBB):(1)(2)EBINHRFP,,,(3)EB,,,2550mg/kg1525mg/kg()(:2005212215)(:)200594397165,412mg/(kgd),,15220064444ChinJPediatr,April2006,Vol44,No14