囊性纤维化中的阑尾炎
Appendicitis in cystic fibrosis.
作者信息
Shields M D, Levison H, Reisman J J, Durie P R, Canny G J
机构信息
Department of Paediatrics, Hospital for Sick Children, Toronto.
出版信息
Arch Dis Child. 1991 Mar;66(3):307-10. doi: 10.1136/adc.66.3.307.
Abstract
Appendicitis is said to be uncommon and difficult to diagnose in cystic fibrosis. The clinical and radiological features in nine patients with cystic fibrosis who had appendicitis were studied. All but one of the patients had an appendiceal abscess at surgery. Four patients had a delay in diagnosis of greater than three days before the correct diagnosis was made. This delay may have been due to a more indolent presentation or because these patients were initially considered to have distal intestinal obstruction syndrome. Appendicitis should be considered in the differential diagnosis if a contrast enema demonstrates extrinsic compression of the caecum. Ultrasound, computed tomography, and gallium scans were found to be of limited help in our series.
摘要
据说阑尾炎在囊性纤维化患者中并不常见且难以诊断。对9例患有阑尾炎的囊性纤维化患者的临床和放射学特征进行了研究。除1例患者外，所有患者在手术时均有阑尾脓肿。4例患者在确诊前诊断延迟超过3天。这种延迟可能是由于临床表现较为隐匿，或者是因为这些患者最初被认为患有远端肠梗阻综合征。如果钡剂灌肠显示盲肠有外在压迫，则在鉴别诊断中应考虑阑尾炎。在我们的系列研究中，超声、计算机断层扫描和镓扫描的帮助有限。
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