Bastani B, Shariatzadeh M R, Dehdashti F
Q J Med. 1985 Sep;56(221):549-57.
In this retrospective study, clinical presentation of peritoneal tuberculosis in an area with a high prevalence of tuberculosis is discussed. Thirty cases diagnosed in an eight-year period are presented. The disease was 2.3 times more common in females. Eighty per cent of the patients were less than 40 years old. Excluding two cases of long duration (one year and three years), mean duration of the symptoms before admission was 2.3 months. Fever, abdominal pain, swelling and weight loss were the main symptoms. Ascites was clinically detected in 80 per cent of cases. Intermediate strength PPD tuberculin skin test was positive in 61 per cent of cases. In 57.7 per cent there was radiologic evidence of pleuropulmonary disease suggestive of tuberculosis. Fourteen of 15 ascitic fluids examined were exudative in nature with predominance of lymphocytes. In the majority of patients diagnosis was proven with laparotomy and laparoscopy (12 cases in each group). In the remainder, tissue for diagnosis was obtained through blind peritoneal needle biopsy, percutaneous biopsy of liver and peripheral lymph node biopsy (two cases with each method).
在这项回顾性研究中，讨论了结核病高发地区腹膜结核的临床表现。呈现了八年间确诊的30例病例。该疾病在女性中更为常见，是男性的2.3倍。80%的患者年龄小于40岁。排除两例病程较长者（一年和三年），入院前症状的平均持续时间为2.3个月。发热、腹痛、腹胀和体重减轻是主要症状。80%的病例临床检查发现有腹水。61%的病例结核菌素皮肤试验中度阳性。57.7%的病例有提示结核病的胸膜肺部疾病的影像学证据。15份腹水样本中有14份为渗出液，以淋巴细胞为主。大多数患者通过剖腹手术和腹腔镜检查确诊（每组12例）。其余患者通过盲法腹膜穿刺活检、肝脏经皮活检和外周淋巴结活检获取诊断组织（每种方法各2例）。
