Lambrianides A L, Ackroyd N, Shorey B A
Br J Surg. 1980 Dec;67(12):887-9. doi: 10.1002/bjs.1800671216.
In Britain abdominal tuberculosis is an uncommon condition and most cases come to laparotomy for diagnosis. A high index of suspicion is required in areas with a large immigrant population and in areas which are overcrowded and nutritionally deprived. Nine of 28 patients presented acutely and a wide variety of preoperative diagnoses were entertained. Most of the remainder had a long history of vague constitutional symptoms and laparotomy was required for diagnosis in all but 5. Histology proved the surest way of establishing the diagnosis.
在英国,腹部结核病并不常见,大多数病例需通过剖腹手术来诊断。在移民人口众多、过度拥挤且营养匮乏的地区,需要高度怀疑。28例患者中有9例急性发病,术前有多种诊断考虑。其余大多数患者有长期模糊的全身症状史,除5例之外,所有患者均需通过剖腹手术来诊断。组织学检查是确诊的最可靠方法。