Grinev M V, Skrynnik N A, Shteĭntsaĭg A I
Vestn Khir Im I I Grek. 1997;156(4):46-9.
For 5 years the authors observed isolated abdominal tuberculosis in 6 patients. Five of them who were urgently operated upon had perforations of the tuberculous ulcers of the intestine. A specific character of the inflammation was confirmed by histological investigations. Four patients are described in detail. One of them had six perforated tuberculous ulcers of the jejunum. All these patients died. Recommendations are given how to improve the diagnosis of abdominal tuberculosis and treat patients with this severe disease.
5年来,作者观察到6例孤立性腹部结核患者。其中5例因紧急手术,存在肠道结核溃疡穿孔。组织学检查证实了炎症的特异性。详细描述了4例患者。其中1例空肠有6个穿孔性结核溃疡。所有这些患者均死亡。文中给出了关于如何改善腹部结核诊断及治疗这类重症患者的建议。