肠结核误诊阑尾炎一例
CHINESE JOURNAL OF CONVALESCENT MEDICINE（2001）
Abstract
临床资料
患者女性,33岁,住院号:30128,因突发右下腹痛,伴发热、恶心、呕吐,在综合医院外科以"急性阑尾炎"收住院.入院查体:体温39.1℃,右下腹麦氏点压痛,反跳痛阳性,血Rt:WBC 1.7×109/L,N 78.5%,L21.4%.立即行"阑尾切除术",术中见阑尾光滑,无明显水肿粘连,回盲部淋巴结肿大并累及部分结肠及邻近肠系膜,肠壁可见局限性增厚、变硬,肠管环形狭窄.行回盲部、受累结肠及肠系膜切除术.切除标本镜下可见病灶中央有干酪样坏死,周围由类上皮细胞及郎罕氏细胞、外周纤维母细胞、纤维组织及淋巴细胞构成典型结核病灶.确诊肠结核后转入我院,经抗结核化疗12个月后痊愈出院.
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