Hill G S, Tabrisky J, Peter M E
West J Med. 1976 Jun;124(6):440-5.
Tuberculous enteritis occurs in about 2 percent of patients with pulmonary tuberculosis. Although it is uncommon in the United States, tuberculous enteritis should be considered in any patient with active pulmonary tuberculosis and abdominal complaints. Eight cases of T. enteritis have been treated at Harbor General Hospital in the last 25 years. Associated pulmonary disease was shown radiologically to be present in seven of eight patients. Findings on contrast studies of the gastrointestinal tract showed disease in six of six patients examined. In five patients, surgical operation was required for diagnosis or complications. Resection of diseased bowel with primary anastomosis was done in five patients. Although medical therapy is the mainstay in the treatment of both pulmonary and intestinal tuberculosis, one staged resection of diseased bowel with primary anastomosis is the procedure of choice for complications such as obstruction, hemorrhage or perforation.
结核性肠炎约发生于2%的肺结核患者中。尽管在美国并不常见，但对于任何有活动性肺结核且有腹部不适的患者，都应考虑结核性肠炎。在过去25年里，港湾总医院共治疗了8例肠结核患者。放射检查显示，8例患者中有7例伴有肺部疾病。胃肠道造影检查结果显示，接受检查的6例患者均有病变。5例患者因诊断或并发症需要进行手术。5例患者进行了病变肠段切除并一期吻合。尽管药物治疗是肺结核和肠结核治疗的主要手段，但对于肠梗阻、出血或穿孔等并发症，一期切除病变肠段并进行吻合是首选的手术方式。
