Sharma A K, Agarwal L D, Sharma C S
Department of Pediatric Surgery, S.P.M. Child Health Institute, S.M.S. Medical College, Jaipur, India.
Trop Gastroenterol. 1990 Jul-Sep;11(3):140-3.
Problems in the management of abdominal tuberculosis in children are discussed with reference to 80 surgically proven cases. The protean clinical manifestation depends on the site and the extent of the disease and its complications. The clinical diagnosis is difficult because of the vague symptoms, non-specific signs, and non-availablity of specific diagnostic tests. The most common type of pathology seen in abdominal tuberculosis in the paediatrics age were adhesive variety followed by nodal type. Strictures of the small bowel are uncommon and hyperplastic variety is rarely seen in this age group. Response to the antitubercular drugs is excellent however, the post operative complications and mortality remain high.
参照80例经手术证实的病例，讨论了儿童腹部结核的管理问题。其临床表现多样，取决于疾病的部位、范围及其并发症。由于症状模糊、体征不特异以及缺乏特异性诊断检查，临床诊断较为困难。小儿腹部结核最常见的病理类型是粘连型，其次是结节型。小肠狭窄不常见，增生型在该年龄组中很少见。抗结核药物治疗反应良好，然而，术后并发症和死亡率仍然很高。
