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病态肥胖肠道旁路术后的结核病

Tuberculosis after intestinal bypass for morbid obesity.

作者信息

Doldi S B

出版信息

Int Surg. 1980 Mar-Apr;65(2):132-4.

PMID:7216657
Abstract

Tuberculosis of organs other than the lung may occur after an intestinal bypass operation for morbid obesity, with an incidence varying from 1% to 4%, a value rather higher than that of the general population. As its clinical symptoms (fever and chills, abundant sweating and an increase or return of weight loss) appear during the period of greatest weight loss, it is probably caused by malnutrition and malabsorption. In most cases lymphadenopathy (usually cervical) also appears. Tuberculosis occurring after bypass operation should be treated with the classic antitubercular therapy; this always results in recovery if the disease is diagnosed in time.

摘要

病态肥胖患者接受肠道分流手术后,可能会发生肺外器官结核,发病率在1%至4%之间,高于普通人群。由于其临床症状(发热、寒战、大量出汗以及体重减轻加剧或再次出现)出现在体重减轻最明显的时期,可能是由营养不良和吸收不良引起的。大多数情况下还会出现淋巴结病(通常为颈部淋巴结病)。分流手术后发生的结核病应采用经典的抗结核疗法进行治疗;如果及时诊断,这种疾病总能治愈。

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