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[肠阿米巴病的诊断与外科治疗]

[The diagnosis and surgical treatment of intestinal amebiasis].

作者信息

Dautov F F

出版信息

Med Parazitol (Mosk). 1997 Oct-Dec(4):8-11.

PMID:9446003
Abstract

Ninety-one patients with intestinal amebiasis (IA) were studied. All had been long suffering from IA due to the fact that it had not been diagnosed in time. Indications for emergency surgery were profuse hemorrhage, perforation of amebic ulcers, gangrene, and toxic dilatation of the large intestine. Planned operations were made in pseudopolyposis, strictures of the large intestine. Surgical treatment was performed along with specific therapy. Seven patients died due to late diagnosis, ineffective therapy and profound systemic and regional changes caused by these factors. It is necessary to differentiate ulcerative colitis, polyposis, and tumors of the large intestine with IA.

摘要

对91例肠道阿米巴病(IA)患者进行了研究。由于未及时诊断,所有患者长期患有IA。急诊手术的指征为大量出血、阿米巴溃疡穿孔、坏疽以及大肠的中毒性扩张。在假息肉病、大肠狭窄情况下进行择期手术。手术治疗与特异性治疗同时进行。7例患者因诊断延迟、治疗无效以及这些因素导致的严重全身和局部改变而死亡。有必要将IA与溃疡性结肠炎、息肉病以及大肠肿瘤相鉴别。

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