15例儿童腹腔结核的临床分析  

作　　者：蒋文军[1] 

机构地区：[1]四川省人民医院儿外科,四川610072

出　　处：《中国医疗设备》2017年第B04期154-154,共1页China Medical Devices

摘　　要：目的 对儿童腹腔结核的诊断与治疗进行临床分撕方法收集我院于2015年1月-2016年1月期间收治的15例腹腔结核患儿的临床资料，对患儿各项临床数据进行回顾性分析，探讨儿童腹腔结核的诊斯与治疗。结果15例患儿中．2例（13．33％）患儿初诊确诊为腹腔结核：除1例患儿行剖腹探查术后方获确诊之外，其余误诊患儿在进一步检查后均得到确诊．患儿疾病诊出率为93．33％（14／15）。患儿太多以发热（73．33％）、咳嗽（53．33％）为主要临床症状．以部揉面感（53．33％）、腹部压痛（46．67％）为主要临床体征。结论结肠镜、腹部超声检查以及病变组织活检等多种检查方式的联合是提高儿童腹腔结核诊断准确率的有效途径；怠儿在确诊后大多可通过药物治疗的方式痊愈,仅少数病情严重或伴随危重并发症的患儿需进一步接受手术治疗。Objective： clinical analysis nf 1he diagnosis and treatment of abdominal mberculnsis in children. Methods： the clinical data of 115 cases of abdominal tuberculosis were col leered in our hnspital in January 2015 2016 period in April, the clinical data of patients were retrospectively analyzed. The diagnosis and treatment of abdominal tuberculosis children, Results： 15 cases of children in 2 cases （ 13：33% ） were diagnosed with newly diagnosed abdominal tuberculosis; except 1 cases underwent laparotomy after diagnosed, misdiagnosed patients were diagnosed in thercstaflcr further examination, the disease diagnosis rate was 93.33% （14/15） inehildren. Most of the hairHcat （73.33%）, cough （53.33%） as Ihe main clinical symptoms, with kneading sense （53.33 %）. abdominal tenderness （16.67%）4） as the main clinical signs. Conclusion; coionoscopy, combined with abdominal ultrasound and biopsy and other examination nlethods is an effective way to improve the accuracy rate of diagnosi.s of celiac node nucleus; the children recovered atter being diagnosed by most drug treatment, only a few serious cornplieatLons in children with critic：ally ill or need further surgery.

关 键 词：儿童 腹腔结核 诊断 治疗 

分 类 号：R249[医药卫生—中医临床基础]