结核性腹膜炎多学科诊疗专家共识  

Expert consensus on multidisciplinary diagnosis and treatment of tuberculous peritonitis

作　　者：中国人民解放军总医院第八医学中心结核病医学部 《中国防痨杂志》编辑委员会 中国医疗保健国际交流促进会结核病防治分会基础和临床学部 陈志[2] 梁建琴[2] 吴雪琼[2] 黎超凡 郭蕊 Senior Department of Tuberculosis,the 8th Medical Center of Chinese PLA General Hospital;Editorial Board of Chinese Journal of Antituberculosis;Basic and Clinical Speciality Committees of Tuberculosis Control Branch of China International Exchange and Promotive Association for Medical and Health Care;Chen Zhi;Liang Jianqin;Wu Xueqiong

机构地区：[1]不详 [2]解放军总医院第八医学中心

出　　处：《中国防痨杂志》2025年第3期243-257,共15页Chinese Journal of Antituberculosis

基　　金：首都卫生发展科研专项(首发2024-2-5094)。

摘　　要：结核性腹膜炎临床表现不具有特异性,鉴别诊断困难,确诊时间往往滞后,使治疗难度加大。在诊疗过程中,通常会涉及多个专业和科室,需要多学科诊疗团队共同参与。结核性腹膜炎的及时诊断和治疗对患者的转归至关重要,然而,我国在该疾病的多学科诊疗方面尚缺乏相关指导性共识或指南。因此,为使结核性腹膜炎患者得到合理规范的系统性诊疗,改善患者预后,降低病亡率,中国人民解放军总医院第八医学中心结核病医学部、《中国防痨杂志》编辑委员会和中国医疗保健国际交流促进会结核病防治分会基础和临床学部联合组织多学科专家,结合我国目前结核性腹膜炎诊疗的经验与研究成果,共同制定《结核性腹膜炎多学科诊疗专家共识》。本共识概述了结核性腹膜炎的流行病学特征、病理生理机制和主要的临床表现,介绍了结核性腹膜炎的常见检查方法,提出了结核性腹膜炎的诊断标准和治疗建议,尤其对手术治疗患者的适应证、禁忌证、术前准备、手术方式和时机选择,以及术后患者处理等给出了推荐意见,旨在为临床医师提供科学、实用的参考依据。Tuberculous peritonitis lacks specific clinical manifestations,making differential diagnosis difficult,and often leading to delayed confirmation of diagnosis,which increases the difficulty of treatment.In the process of diagnosis and treatment,multiple specialties and departments are usually involved,requiring the involvement of multidisciplinary teams(MDTs).Timely diagnosis and treatment are crucial for the prognosis of patients with tuberculous peritonitis.However,there is still a lack of relevant guiding consensus or guidelines for the multidisciplinary diagnosis and treatment of tuberculous peritonitis in China.Therefore,in order to provide reasonable and standardized systematic diagnosis and treatment for patients with tuberculous peritonitis,improve patient prognosis,and reduce mortality,Senior Department of Tuberculosis,the Eighth Medical Center of the Chinese People’s Liberation Army General Hospital,the Editorial Board of Chinese Journal of Antituberculosis,and Basic and Clinical Speciality Committees of Tuberculosis Control Branch of China International Exchange and Promotive Association for Medical and Health Care jointly organized multidisciplinary experts to formulate the Expert consensus on multidisciplinary diagnosis and treatment of tuberculous peritonitis,based on China’s current diagnostic and therapeutic experience and research achievements in tuberculous peritonitis.This consensus summarizes the epidemiological characteristics,pathophysiological mechanisms,and main clinical manifestations of tuberculous peritonitis,introduces common examination methods for tuberculous peritonitis,proposes the diagnostic criteria and treatments suggestions of tuberculous peritonitis,and especially gives recommendations on the indications,contraindications,preoperative preparation,surgical method and timing selection,and postoperative patient management,etc.It aims to provide clinical physicians with scientific and practical reference.

关 键 词：腹膜炎 结核性 学科间信息交流 诊断 治疗学 总结性报告(主题) 

分 类 号：R52[医药卫生—内科学]