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[淋巴肉芽肿病的死因]

[Causes of death in lymphogranulomatosis].

作者信息

Kir'ianov N A

出版信息

Arkh Patol. 1979;41(5):19-23.

PMID:454224
Abstract

The results of 97 autopsy cases of lymphogranulomatosis showed the causes of death to be either progression of the disease (78 cases), complications of treatment (12) or other diseases (7). The immediate causes of death in the progression of the disease were toxicity (29%), pulmonary insufficiency (22%), pulmonary-cardial insufficiency (12%), hepatic insufficiency (21%), peritonitis (3.4%), sepsis (5.8%), uremia (3.4%), posthemorrhagic anemia (1.7%), cerebral edema (1.7%). The immediate causes of death in complications of therapy were secondary infection (5 cases), posthemorrhagic anemia (3), pulmonary insufficiency (3), cerebral edema (1). In 7 observations death was not due to lymphogranulomatosis: in 2 cases it was caused by disseminated hematogenic tuberculosis, in 2 pneumonia (with cured lymphogranulomatosis, in 1 myocardial infarction, in 1 uremia (aterosclerotic nephrosclerosis) and 1 patient died accidentally.

摘要

97例淋巴肉芽肿病尸检病例结果显示,死亡原因包括疾病进展(78例)、治疗并发症(12例)或其他疾病(7例)。疾病进展过程中的直接死亡原因有中毒(29%)、肺功能不全(22%)、肺心功能不全(12%)、肝功能不全(21%)、腹膜炎(3.4%)、败血症(5.8%)、尿毒症(3.4%)、出血后贫血(1.7%)、脑水肿(1.7%)。治疗并发症中的直接死亡原因有继发感染(5例)、出血后贫血(3例)、肺功能不全(3例)、脑水肿(1例)。7例死亡并非由淋巴肉芽肿病所致:2例由血行播散型肺结核引起,2例由肺炎(淋巴肉芽肿病已治愈)引起,1例由心肌梗死引起,1例由尿毒症(动脉粥样硬化性肾硬化)引起,1例患者意外死亡。

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