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肝结核的临床及病理特点
引用本文:王波涌,张中林,刘志苏,熊慧华. 肝结核的临床及病理特点[J]. 临床外科杂志, 2008, 16(9): 592-593
作者姓名:王波涌  张中林  刘志苏  熊慧华
作者单位:武汉大学中南医院普外科,430070;华中科技大学同济医学院附属同济医院肿瘤科
摘    要:目的探讨肝结核的临床症状及诊断并分析其误诊原因。方法对1996年至2007年收治的14例肝结核患者的临床资料进行回顾性分析。结果有64.28%患者系经肝穿刺活检病理诊断。肝结核主要临床表现有发热(71.43%)、肝肿大(42.86%)、腹痛(35.71%)、贫血(57.14%)、肝功能损害(57.14%)及血沉增快(35.71%)。结论对不明原因发热伴肝脾肿大、腹痛、血沉增快、肝功能损害患者,应怀疑肝结核的可能。经皮肝穿刺活检病理检查是确诊的主要手段。

关 键 词:结核  肝脏

Clinicopathologic characteristics of hepatic tuberculosis
WANG Bo-yong,ZHANG Zhong-lin,LIU Zhi-su,et al.. Clinicopathologic characteristics of hepatic tuberculosis[J]. Journal of Clinical Surgery, 2008, 16(9): 592-593
Authors:WANG Bo-yong  ZHANG Zhong-lin  LIU Zhi-su  et al.
Affiliation:WANG Bo-yong,ZHANG Zhong-lin,LIU Zhi-su,et al.(Department of General Surgery,Affiliated Zhongnan Hospital of Wuhan University,Wuhan 430070,China)
Abstract:Objective To explore the clinical characteristics of hepatic tuberculosis.Methods The clinical data of 14 cases who were diagnosed as having hepatic tuberculosis by pathological examination were analyzed.Results 64.28% of the 14 patients was diagnosed by percutaneous liver biopsy. Fever,hepatomegaly and abdominal pain were the major clinical manifestations and present in 71.43%,42.86% and 35.71% of the patients respectively. Anemia,liver function damage and increased ESR were noted in the patients (57.14%,5...
Keywords:tuberculosis  liver  
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