Tuberculous peritonitis. An evaluation of pathogenetic mechanisms, diagnostic procedures and therapeutic measures.
Tuberculous peritonitis. An evaluation of pathogenetic mechanisms, diagnostic procedures and therapeutic measures.
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结核性腹膜炎。
DOI：
10.1056/nejm196911132812003
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发表时间：
1969
影响因子：
158.5
通讯作者：
K. Jain
中科院分区：
文献类型：
--
作者：
M. M. Singh;A. Bhargava;K. Jain
47例结核性腹膜炎患者平均随访3年，X线检查显示肺实质病变仅占6%，钡灌肠和钡餐检查、静脉肾盂造影和输卵管造影显示邻近器官无结核性病变。使用约1升腹水，83%的患者培养出抗酸杆菌。经皮腹膜活检被证明是一种快速诊断的简单而有用的方法，该技术显示了64%的干酪化肉芽肿。结核性腹膜炎患者通常累及其他浆液性膜。胸腔积液是目前在32%和隐匿性心包炎的特点是心电图的变化只有13%，抗结核药物是非常有效的，并伴随使用类固醇预防结核病的晚期纤维化并发症的形式，缩窄性心包炎和肠梗阻的粘合带。
Of 47 patients with tuberculous peritonitis followed for an average of three years x-ray examination showed a parenchymal pulmonary lesion in only 6 per cent. Barium-enema and barium-meal studies, intravenous pyelography and salpingography revealed no tuberculous lesion in the adjacent organs in this series. With the use of about 1 liter of ascitic fluid, acid-fast bacilli were cultured in 83 per cent of the patients. Percutaneous peritoneal biopsy proved to be a simple and useful method of arriving at a quick diagnosis, and a caseating granuloma was demonstrated by this technic in 64 per cent. Other serous membranes were often involved in patients with tuberculous peritonitis. Pleural effusion was present in 32 per cent and cryptic pericarditis characterized by electrocardiographic changes only in 13 per cent. Antituberculous drugs were highly effective, and concomitant use of steroids prevented the late fibrotic complications of tuberculosis in the form of constrictive pericarditis and intestinal obstruction from adhesive bands.