126例结核性腹膜炎临床分析  

Clinical Analysis of 126 Cases of Tuberculous Peritonitis

作　　者：刘风霞[1] 战云飞[1] 

机构地区：[1]山东省胸科医院,山东济南250013

出　　处：《临床肺科杂志》2011年第4期553-554,共2页Journal of Clinical Pulmonary Medicine

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。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 examinations of breast are positive in 40.5%（51/126）.Activity of ascites adenosine deaminase（ADA） increased in 73.9%（34/46）.Peritoneoscopy showed positive findings in 88%（16/18）.Petitoneum bispoy is in 100/100（6/6）.By means of prompt diagnosis and reasonal medication,the total treatment effective rate was 80.15%.ConclusionThe level of clinical diagnosis and treatment for tuberculous peritonitis could be elevated by making the correct final diagnosis combined with the different ways and with the routine drug treatnent of intemal medicine and surgical intervention.

关 键 词：结核性 腹膜炎 诊断 药物治疗 手术治疗 

分 类 号：R526[医药卫生—内科学]