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[儿童阿米巴肝脓肿(1964年至1979年在金沙萨大学儿科诊所观察的47例研究)(作者译)]

[Amoebic liver abscess in children (study of 47 cases observed from 1964 to 1979 in the clinic of pediatrics of Kinshasa University) (author's transl)].

作者信息

Omanga U, Mashako M

出版信息

Med Trop (Mars). 1981 Jul-Aug;41(4):425-30.

PMID:7311757
Abstract

This retrospective study of hepatic amoebiasis cases observed in the clinic of Pediatrics from 1964 to 1979 brings evidence of its low frequency in children. The disease is mainly observed in young patients from 1 to 6 years (76,5%) and specially in males. Suspected from the evidence of a tender and enlarged liver associated with fever, the diagnosis is rapidly confirmed by a highly positive specific serology. Prognosis is severe with complications in 7% and death in 15% of the cases. Treatment is essentially medical and based on metronidazole. Surgical treatment has few indications which have been recently fixed by Nussaume and Cherbonnel.

摘要

这项对1964年至1979年在儿科诊所观察到的肝阿米巴病病例的回顾性研究表明,该病在儿童中发病率较低。该病主要见于1至6岁的年轻患者(76.5%),且男性尤为多见。根据肝脏压痛、肿大伴发热的表现怀疑该病,通过高度阳性的特异性血清学检查可迅速确诊。预后严重,7%的病例出现并发症,15%的病例死亡。治疗主要为药物治疗,以甲硝唑为基础。手术治疗适应证较少,Nussaume和Cherbonnel最近确定了这些适应证。

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