Chlumský J, Krtek V, Chlumská A
Cas Lek Cesk. 1989 Mar 24;128(13):404-6.
The authors present the clinical picture of the tuberculous peritonitis and stress the potentialities of differential diagnosis. They drew on their diagnostic experience with tuberculous peritonitis occurring in the 1978-1987 period, and on their analysis of the clinical course of the disease in 7 patients (3 were under 40 years of age). The diagnosis should make use of laparoscopy supplemented with biopsy taken from the peritoneal wall using the "hot biopsy method", which enabled to achieve exact morphological verification. Nowadays, delayed or incorrect diagnosis can result in a serious clinical course of this rare complication of the disease.
作者介绍了结核性腹膜炎的临床表现,并强调了鉴别诊断的可能性。他们借鉴了1978年至1987年期间结核性腹膜炎的诊断经验,以及对7例患者(3例年龄在40岁以下)疾病临床过程的分析。诊断应采用腹腔镜检查,并辅以使用“热活检法”从腹膜壁取材进行活检,这能够实现准确的形态学验证。如今,诊断延迟或错误可能导致这种疾病罕见并发症的严重临床过程。