查詢結果分析
來源資料
相關文獻
- Tuberculous Peritonitis:Analysis of 35 Cases
- 消化系放射線診斷學(1)--結核性腹膜炎電腦斷層掃描(CT)之表徵
- 一腹膜透析患者的結核性腹膜炎
- 連續可活動性腹膜透析之結核性腹膜炎
- 結核性腹膜炎與腹膜轉移癌臨床表徵及一般性檢查之差異
- Clinical Features, Diagnosis, and Treatment of Tuberculous Peritonitis: A Case Report and Review of Literature
- Tuberculous Peritonitis as a Complication of Intravesical Bacille Calmette-Guérin Instillation for Superficial Bladder Cancer: Report of a Case
- Painless Tuberculous Peritonitis in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis
- Diagnostic Laparoscopy in Ascites of Unknown Origin: Chang Gung Memorial Hospital 20-year Experience
- 腹內結核
頁籤選單縮合
題 名 | Tuberculous Peritonitis:Analysis of 35 Cases=結核性腹膜炎:三十五病例之分析 |
---|---|
作 者 | 王華恭; 薛博仁; 洪健清; 張上淳; 陸坤泰; 謝維銓; | 書刊名 | 微免與感染雜誌 |
卷 期 | 31:2 1998.06[民87.06] |
頁 次 | 頁113-118 |
分類號 | 415.57 |
關鍵詞 | 結核性腹膜炎; Tuberculosis; Peritonitis; |
語 文 | 英文(English) |
中文摘要 | 我們分析臺大醫院35個確定診斷為結核性腹膜炎之病例(1984年至1996年)。結核 性腹膜炎的診斷除了靠腹水、腹膜透析液、或腹膜切片之結核菌培養,由腹膜切片的病理診 斷以及合併有肺部結核亦可做為確立診斷的標準。在我們的病例中,一共有 16 位男性,19 位女性;年齡由 18 歲至 83 歲,平均年齡為 49 歲。 在這些病患中有 9 例為肝硬化病人 ,7 例為糖尿病病人,6 例為末期臀衰竭病人, 其中有 4 例是接受腹膜透析的病人,一例 是接受血液透析患者。這些病人最常見的臨床表現為腹部腫脹,發燒及胃口差。以腹水表現 的有 31 例。肺部有變化者有 26 例,其中 22 例有肋膜積水,5 例有粟粒性病變;7 例痰 或肋膜積水結核菌培養為陽性。二例合併有結核性腹膜炎與結核性腸炎。多器官結核者有 8 例。因結核性腹膜炎而死亡者有 11 人, 其中有 8 人超過 60 歲,6 人為肝硬化患者,有 9 例乃死後才診斷為結核性腹膜炎,而 5 例從未接受任何抗結核藥物之治療。 在臺灣,結 核病仍屬高流行的地區,結核性腹膜炎之正確診斷有賴醫師保持高度的警覺,才能及早給予 病人適當的治療,降低病人的死亡率。 |
英文摘要 | Thirty five patients with tuberculous peritonitis were studied retrospectively. Tuberculous peritonitis was defined as the isolation of Mycobacterium tuberculosis from ascites or dialysate, and/or caseating granuloma/acid-fast bacilli from peritoneal biopsy specimens from patients with pulmonary tuberculosis or a response to treatment for tuberculosis. Among the patients studied, nine with cirrhosis of the liver; seven with diabetes mellitus and six with endstage renal disease, of whom four had undergone continuous ambulatory peritoneal dialysis. The most frequent signs of tuberculous peritonitis included ascites, fever and anemia. Ascites was found in 31 patients (89%). Abnormal findings on chest radiographs were found in 26 patients (74%), of whom 22 patients (63%) had pleural effusion and five had miliary lung lesions. Seven out of 35 patients were found to have positive culture of sputum or pleural effusion for M. tuberculosis. Two patients were found to have concomitant tuberculous peritonitis and enteritis. Multiple organ involvement was found in eight patients. Eleven patients (31%) died:eight were older than 60 years; six had cirrhosis of the liver and nine were diagnosed postmortemly. In Taiwan, tuberculous peritonitis should be considered in patients with abnormality of chest radiography and nonresolving peritonitis. |
本系統中英文摘要資訊取自各篇刊載內容。