儿童肺结核出现空洞比较少见,虽然诊断并不十分困难,但因临床表现不象成人那样典型,易被误诊。我科曾收治两例,早期均被误诊为肺脓肿,现报告如下。临床资料例1 患儿,女,12岁。因发烧、咳嗽1个月入院。患儿于1个月前感冒后,发热持续不退,体温波动在38～39℃之间,伴有咳嗽,有时咯少量白色粘液性痰,痰中无血,身体日见消瘦。体检:体温38.2℃,脉搏110次,血压100/70毫米汞柱。发育营养欠佳,面色苍白,气管居中。右肺第4肋以上叩诊稍浊,听 Childhood pulmonary tuberculosis is relatively rare cavity, although the diagnosis is not very difficult, but clinical manifestations are not as typical as adults, easily misdiagnosed. My department had admitted two cases, were early misdiagnosed as lung abscess, are as follows. Clinical data example 1 children, female, 12 years old. Due to fever, cough 1 month admission. Children with colds after 1 month ago, the fever continued without retreat, body temperature fluctuations between 38 ~ 39 ℃, accompanied by cough, sometimes a slight amount of white mucus sputum, sputum blood, the body day thin. Physical examination: body temperature 38.2 ℃, pulse 110 times, blood pressure 100/70 mm Hg. Poorly developed nutrition, pale, tracheal center. Right fourth lung above the percussion slightly turbid, listening