| 马璐萍,张靖源,姜永珊,沈会.肺结核合并肠结核1例病例报道[J].中国医药导报,2024,21(5):185-188 |
二维码（扫一下试试看！） |
| 肺结核合并肠结核1例病例报道 |
| A case report of pulmonary tuberculosis complicated with intestinal tuberculosis |
| 收稿日期： 修订日期：2023-09-12 |
| DOI：10.20047/j.issn1673-7210.2024.05.44 |
| 关键词: 肺结核 肠结核 皮肤结核 诊断 病例报告 |
| Key Words: |
| 基金项目:国家中医药管理局全国中医临床优秀人才研修项目（国中医药人教函〔2022〕1号）；全国中医药创新骨干人才培训项目（国中医药人教函〔2019〕91号）；辽宁省优秀中医临床人才项目（辽卫办发〔2021〕29号） |
|
| 摘要点击次数: 815 |
| 全文下载次数: 324 |
| 摘要:肠结核、皮肤结核作为常见的肺外结核，早期常缺乏特异性的临床表现，易误诊、漏诊，引发严重并发症。本文回顾性分析1例肺结核合并肠结核患者的临床资料，该例患者以左上腹胀痛伴腹泻反复发作为主要症状，且伴有皮肤脓肿，入院后完善肺CT、肠镜、病理等检查，肺结核合并肠结核诊断明确，皮肤结核尚缺乏病理学诊断依据。根据CT、肠镜及病理结果，采用规律抗结核治疗后有效，且预后较好。由于确诊较难，肠结核与皮肤结核如未能及时治疗，可能会引发肠穿孔、肠梗阻等严重并发症，并且易遗留瘢痕甚至并发肿瘤，预后不佳。本病例通过全面掌握患者临床资料，诊断明确，对于肺外结核抗结核治疗效果显著，可供临床参考，从而降低误诊、漏诊风险。 |
| Abstract:As common extrapulmonary tuberculosis, intestinal tuberculosis and cutaneous tuberculosis often lack specific clinical manifestations in the early stage, and are easy to be misdiagnosed and missed, leading to serious complications. In this paper, the clinical data of a case of pulmonary tuberculosis complicated with intestinal tuberculosis were retrospectively analyzed. The main symptoms were left upper abdominal swelling pain accompanied by diarrhea, accompanied by skin abscess. After admission, pulmonary CT, colonoscopy, and pathological examination were completed, and the diagnosis of pulmonary tuberculosis complicated with intestinal tuberculosis was clear, while the pathological diagnosis of cutaneous tuberculosis was still lacking. According to CT, colonoscopy, and pathological results, regular anti-tuberculosis therapy is effective, and has a good prognosis. Due to the difficulty of diagnosis, intestinal tuberculosis, and cutaneous tuberculosis, if not treated in time, may cause serious complications such as perforation and intestinal obstruction, and are prone to leave scars or even complicated with tumors, and the prognosis is poor. By comprehensively mastering the clinical data of the patient, the diagnosis of this case is clear, and the anti-tuberculosis treatment for extrapulmonary tuberculosis has significant effect, which can be used for clinical reference, so as to reduce the risk of misdiagnosis and missed diagnosis. |
| 查看全文 HTML 查看/发表评论 下载PDF阅读器 |
|
|
|
