摘要
目的探讨结核性腹膜炎的诊断方法和注意事项。方法对我院2002年2月至2012年2月确诊为结核性腹膜炎的患者67例的临床资料进行回顾性分析。结果 67例结核性腹膜炎患者中主要临床症状为发热54例(80.6%),盗汗43例(64.2%),消瘦42例(62.7%),腹胀、腹痛49例(73.1%),呕吐32例(47.8%),腹泻21例(31.3%),便秘16例(23.9%)。体征:移动性浊音阳性38例(56.7%),腹壁柔韧感28例(41.8%),肝大12例(17.9%),腹部压痛27例(40.3%),腹部包块14例(20.9%)。实验室检查阳性率以血清转铁蛋白和腹腔镜检查最高,分别为79.1%和83.3%。结论结核性腹膜炎结合临床及实验室检查指标,多数病例可作出正确诊断,早期合理治疗预后良好。
Objective To investigate the diagnostic methods and precautions of tuberculous peritonitis. Methods A retrospective analysis of the clinical data of 67 patients in our hospital from February 2002 to February 2012 diagnosis of tuberculous peritonitis. Results 67 eases of tuberculous peritonitis in patients with clinical symptoms of fever, 54 eases （80.6%）, night sweats, and 43 patients （64.2%）, weight loss in 42 patients （62.7%）, abdominal distension, abdominal pain in 49 patients （73.1%）, vomiting 32 cases （47.8%）, diarrhea in 21 cases （31.3%）, constipation 16 eases （23.9%）. Signs： the shifting dullness positive 38 eases （56.7%）, abdominal wall flexible sense of the 28 eases （41.8%）, liver in 12 eases （17.9%）, abdominal tenderness in 27 eases （40.3%）, abdominal mass in 14 eases （20.9%）. The Laboratory tests positive rate of serum transferrin and laparoscopy highest, 79.1% and 83.3%, respectively. Conclusion The combination of clinical and CT findings of tuberculous peritonitis, in most cases to make a correct diagnosis, early reasonably good prognosis.
出处
《中国医药指南》
2013年第8期411-412,共2页
Guide of China Medicine
关键词
结核性腹膜炎
临床分析
Tuberculous peritonitis
Clinical analysis
