结核败血症甚为少见,是全身血源性结核的一种特殊类型,与一般的粟粒性结核不同。在病理组织上表现为无反应性结核。以往国内外的少数报告均为尸检后诊断,我科于1982年发现一例,经多处淋巴结、腹腔穿刺发现大量抗酸杆菌;末梢血涂片也找到抗酸杆菌,且血动物接种阳性而生前证实为结核败血症,特报告如下。患儿女性,6岁,于82年3月11日入我科,起病于2月初,发热39℃～40℃,精神不振,食欲差,10天后左上颈部肿胀并出现包块,又10余天后,右上颈部也肿胀,出现 Tuberculous sepsis is very rare, is a special type of systemic blood-borne tuberculosis, and the general miliary tuberculosis is different. In the pathological tissue showed non-reactive tuberculosis. In the past a small number of reports at home and abroad are post-mortem diagnosis, our department found a case in 1982, after many lymph nodes, abdominal puncture found a large number of acid-fast bacilli; peripheral blood smear also found acid-fast bacilli, and blood animals positive inoculation Confirmed tuberculosis sepsis, special report is as follows. Children, 6 years old, on March 11, 82 into my department, onset in early February, fever 39 ℃ ~ 40 ℃, lack of energy, poor appetite, 10 days after the left upper neck swelling and mass, and 10 After days, the upper right neck also swollen, appeared