男童手舉異常 卡介苗後遺症

[huangjauwen]

..男童手舉異常 卡介苗後遺症
.-字+字.中央社 – 2014年1月8日 上午9:14.
.
...（中央社記者龍瑞雲台北8日電）1名1歲5個月男嬰手舉不起來，就醫檢查研判是接種卡介苗後遺症，醫師提醒，若接種疫苗後出現四肢活動異常應盡早就醫檢查。

台北中山醫院骨科醫師施俊雄說，去年10月，1名外國媽媽帶著1歲5個月男嬰求診骨科，主訴孩子右手老是舉不起來，曾以為扭傷，吃藥後無改善，由於男孩右肩膀關節有紅腫狀，但沒有發燒或熱痛感，轉而求診骨科。

施俊雄說，經X光檢查發現，男孩右肩肱骨上端有異，起初懷疑是細菌感染或罹患骨腫瘤，經手術開刀，發現患處都是膿瘍，在細菌及結核菌培養、骨頭組織病理檢查後，確定是結核菌感染引起骨髓炎，推估是接種卡介苗引起。

他指出，為男孩手術傷口清創，並給予抗結核菌藥物後，男孩休息一個月後再回診，右肩患處已經無紅腫。

施俊雄說，新生兒施打完卡介苗疫苗後，有百萬分之1-10機率會有局部淋巴腺長膿問題，引發骨髓炎的機率更低，約百萬分之3，但骨髓炎容易造成小孩四肢出現異常，家長還是不能輕忽。

他說，卡介苗是低毒性活性疫苗，目的是用來預防得到結核病，尤其是肺結核。新生兒在接種卡介苗疫苗7-14天後，接種處會呈現紅色小結節。4-6週後，紅色小結節可能會變成膿泡或潰爛，這是接種卡介苗正常的免疫反應。

施俊雄指出，正常情況下，接種卡介苗2-3個月後，潰爛會自行癒合，留下一處微紅小疤痕。提醒家長，在接種疫苗後應多觀察孩子肢體活動是否異常，若四肢活動困難或關節處有膿瘍或潰爛，應及早就醫檢查及治療。

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