Nguen V Kh, Stroganov P V, Geshelin S A
Klin Khir. 2011 Sep(9):63-5.
The results of treatment of 81 patients, suffering tuberculosis and operated in emergency for an acute surgical diseases of the abdominal cavity organs, are adduced, in 29 of them--nonspecific diseases of nontuberculosis genesis were diagnosed. In 52 patients the indication for emergency operation performance were complications of abdominal tuberculosis (perforation of the tuberculosis ulcers of small intestine--in 37, the tuberculosis mesadenitis--in 15), of them in 34--pulmonary tuberculosis was in inactive phase, that's why the HIV presence was supposed. In 26 patients the diagnosis was confirmed, basing on serologic analysis data. The presence of intraabdominal catastrophe, caused by abdominal tuberculosis complications on inactive pulmonary tuberculosis background witnesses with 85.3% probability the HIV-infectioning of the patient.
本文给出了81例患有结核病且因腹腔器官急性外科疾病而接受急诊手术患者的治疗结果,其中29例被诊断为非结核源性非特异性疾病。52例患者的急诊手术指征为腹部结核并发症(小肠结核溃疡穿孔37例,结核性肠系膜淋巴结炎15例),其中34例患者的肺结核处于静止期,因此推测存在HIV感染。根据血清学分析数据,26例患者确诊。在静止期肺结核背景下,由腹部结核并发症引起的腹腔内病变以85.3%的概率证明患者感染了HIV。