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[儿童腹部放线菌病]

[Abdominal actinomycosis in children].

作者信息

Stefan H, Lehká J

机构信息

Oddĕlení dĕtské chirurgie FN KUNZ katedry pediatrie, porodonictví a gynekologie.

出版信息

Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove Suppl. 1990;33(2):207-13.

PMID:2263916
Abstract

A total of four children (1 female and 3 male subjects aged from 3.5 to 10 years) is reported as treated by surgery and antibiotics for the abdominal focus of actinomycosis. The infection was manifested as an infiltration around the inflamed appendix in one case, the second case was related with multiple infiltrations in the abdominal wall and pelvic region. Two patients showed cyst and eventually urachal sinus infiltrated with actinomycosis. The diagnosis was determined in all cases from histology. In three cases, the inflammatory tumor was exstirpated in toto. The treatment with penicillin combined with streptomycin or other antibiotic has lasted no longer than 6, 28, 29 and 80 days, respectively. The emphasis is made on the benefit of resectional surgery which reduces the amount of antibiotics needed and shortens the therapeutic course of actinomycosis.

摘要

据报道,共有4名儿童(1名女性和3名男性,年龄在3.5至10岁之间)因腹部放线菌病病灶接受了手术和抗生素治疗。1例感染表现为发炎阑尾周围的浸润,第2例与腹壁和盆腔区域的多处浸润有关。2例患者出现囊肿,最终脐尿管窦被放线菌浸润。所有病例均通过组织学确诊。3例患者的炎性肿瘤被完整切除。青霉素联合链霉素或其他抗生素的治疗分别持续不超过6天、28天、29天和80天。重点强调了切除手术的益处,即减少所需抗生素的用量并缩短放线菌病的治疗疗程。

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