Guth A A, Kim U
Mount Sinai School of Medicine, Department of Surgery, Elmhurst Hospital Center, New York 11373.
Surg Gynecol Obstet. 1991 Jun;172(6):432-6.
Seventeen patients with abdominal tuberculosis were recently treated at our institution. Two distinct patient populations were identified--immigrants and individuals infected with the human immunodeficiency virus. Abdominal pain, weight loss and fever were the most common complaints, with abdominal tenderness and pyrexia the most frequent physical findings. Only five of 17 patients had concomitant pulmonary tuberculosis. A typical computed tomographic scan was helpful in the diagnosis. Diagnosis was made at emergency (five patients) or elective (six patients) laparotomy, by endoscopic (two patients) or percutaneous (three patients) biopsy or on the basis of roentgenologic and clinical evidence (one patient). All responded to antituberculous chemotherapy. With the spread of acquired immunodeficiency syndrome (AIDS), tuberculosis has become increasingly frequent in urban areas and it must be suspected in all immigrants and patients with AIDS presenting with abdominal complaints.
最近我们机构收治了17例腹部结核患者。确定了两个不同的患者群体——移民和感染人类免疫缺陷病毒的个体。腹痛、体重减轻和发热是最常见的主诉，腹部压痛和发热是最常见的体格检查发现。17例患者中只有5例同时患有肺结核。典型的计算机断层扫描有助于诊断。诊断通过急诊（5例患者）或择期（6例患者）剖腹手术、内镜检查（2例患者）或经皮活检（3例患者）做出，或基于放射学和临床证据（1例患者）。所有患者对抗结核化疗均有反应。随着获得性免疫缺陷综合征（AIDS）的传播，结核病在城市地区越来越常见，所有有腹部症状的移民和艾滋病患者都必须怀疑患有此病。
