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題名 | Typhlitis in Acute Childhood Leukemia=急性白血症病童之盲腸炎 |
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作者姓名(中文) | 吳淑芬; 彭慶添; 蔡輔仁; 蔡長海; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 37:3 民85.05-06 |
頁次 | 頁208-210 |
分類號 | 417.5479 |
關鍵詞 | 盲腸炎; 白血症; Typhlitis; Leukemia; |
語文 | 英文(English) |
中文摘要 | Typhlitis是指在盲腸部份發生發炎及壞死變化,此疾病經常在急性白血病患者接受化學治療過程中發生,尤其在粒性白血球缺乏時更易出現。本研究收集五例急性白血病孩童,在化學治療期間發生Typhlitis,其臨床表現包括發燒、腹痛、腹瀉和腹部壓痛,腹部超音波檢查發現其中四例之盲腸壁有增厚的現像。對Typhlitis此疾病超音波似乎可以提供一個簡易而且不具侵犯性的診斷工具。個案中有四例在內科治療下成功治療,另一例因敗血症而死亡。 |
英文摘要 | Typhlitis is a necrotizing inflammation of the cecum usually found in acute leukemia patients on chemotherapy in the setting of agranulocytosis. We describe five cases of typhlitis, characterized by fever, abdominal pain, abdominal tenderness and watery diarrhea, occurring during periods of neutropenia. In 4 cases, sonography showed thickening of the cecum wall. Ultrasound appears to offer an easy noninvasive method of diagnosing this potential lethal disease. Four patients were treated successfully with broad- spectrum antibiotics and bowel rest. There was 1 death resulting from septic complication. |
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