111例结核性腹膜炎患者临床特征的分析

111例结核性腹膜炎患者临床特征的分析

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时间:2019-03-01

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1、万方数据浙江大学硕士学位论文英文摘要Clinicalfeaturesofperitonealtuberculosis:aretrospectivestudyof111casesZhejiangUniversityofMedicinePostgrduateWeiChenSupervisorProf.JifangShengAbstractAim:Toretrospectivelyanalysethefeatruesofthesymtoms,labexaminations,radiographicresults,pathologyin1patientsdiagon

2、sedofperitonealtuberculosis.Method:ThepatientsadmittedtotheFirstAffiliatedHospitalofZheJiangUniversitybetween2011.1.1to2.14.12.31anddiagnosedofperitonealtuberculosiswerecollected.Weanalysethesepatients’age,gender,ThetimeintervalbetweensymptomsandHospitalization,accompanyingdiseases

3、,symptoms,labexaminations,radiographicresultsandpathology.Result:l1easesofPTpatients(63male,48female)wereretrospectivelyanalysed.15patientswerediagnosedoftuberculosisbeforehospitalization.31werediagnosedoftuberculosisinotherpartsofbodyexceptabdomenduringhospitalization.ThecomI/lons

4、ymptomsincludeabdominaldistension,fever,abdominalpain,weightlose,weakness,poorappetite,nightsweat,nauseaandvomit,diarrhea,cough,expectoration,chestdistress,polypnea.54.1%(60/111)patientshadsymptomsinamonthbeforehospitalization.7nlewhitebloodcellcountswerenormalin77.5%(86/111)patien

5、tsandtheneutrophilsin96.4%(107/111)patientsweredominant.Morethanhalfofthepaitents’ESR(69/104)andCRP(58/109)werenormalorslightlyhigh.86.8%(66/76)patients’T-SPOTwerepositive.51.4%(56/109)patients’seru/nalbuminWaslow(<359/L).90.1%(99/101)patients’serulaCAl25werehigh(>35U/L).Abdominalr

6、V万方数据浙江大学硕上学位论文英文摘要ultrasoundindicatedascitesin85%(80/94)patients.Theeellcountsweremorethan100木106/Lin90.5%(57/63)patientsandin82.5%(47/57)patientslymphocytesweredomiant.TheasciteSAAGwerehigh(>llg/L)in95.2%(60/63)patietsandasciteLDH/serumLDHelevation(>0.6)wereobservedin80%(16/20)pa

7、tients.29.8%(17/57)patients’asciteADAweremorethan40U/L.91patientsreceivedabdominalCTscanandtheabnormaltiesincludedthickeningofthemesentery,omentumandperitoneum,enlargementoflymphnodes,thickeningofintestinalwall,intestinalobstruction,agglutinationoftheintestinalloopsandSOon.32.4%(36

8、/101)patientshadpathologie

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