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126例结核性腹膜炎临床分析
引用本文:刘风霞,战云飞. 126例结核性腹膜炎临床分析[J]. 临床肺科杂志, 2011, 16(4): 553-554
作者姓名:刘风霞  战云飞
作者单位:济南,山东省胸科医院,山东,250013
摘    要:目的分析结核性腹膜炎的临床特点,探讨其诊断和治疗方法。方法分析2002年3月~2009年1月我院确诊126例结核性腹膜炎患者的临床特点。结果各项检查的阳性率分别为血沉增快79.3%(100/126),PPD阳性62.2%(74/119),血结核抗体39.7(50/126),腹部B超78.6%(99/126),腹部CT 48.7(38/78),胸部X线片40.5%(51/126),腹水腺苷酸脱氨酶(ADA)活性增高73.9(34/46),腹腔镜检查阳性88.9%(16/18),腹膜活检100%(6/6),通过各项诊断方法及时诊断,合理用药,治疗总有效率达80.15%。结论联合不同诊断方法,正确诊断,联合长期用药,必要时配以手术治疗,可提高结核性腹膜炎的临床诊治水平。

关 键 词:结核性  腹膜炎  诊断  药物治疗  手术治疗

Clinical Analysis of 126 Cases of Tuberculous Peritonitis
LIU Feng-xia,ZHAN Yun-fei. Clinical Analysis of 126 Cases of Tuberculous Peritonitis[J]. Journal of Clinical Pulmonary Medicine, 2011, 16(4): 553-554
Authors:LIU Feng-xia  ZHAN Yun-fei
Affiliation:LIU Feng-xia,ZHAN Yun-fei Shandong Provincial Chest Hospital,Jinan250013,China
Abstract:Objective To analyze the clinical characteristics of tuberculosis preitonitis and explore the diagnosis and treatment methods.MethodsAnalyze 126 cases who had tubeculous peritonitis diagnoded in our hospital retrospectively.Results79.3%(100/126) of the cases have incrsased biood sedimentation rates.PPD testings are positive in 62.2%(74/119) of the cases.39.7%(50/126) have anti-tuberculosis antibody.Abdomen B-ultrasonic are positive in 78.6%(99/126).Abdomen CT examinations are positive in 48.7%(38/78).X-ray ...
Keywords:tuberculosis  peritonitis  diagnosis  drug treatment  surgical intervention  
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