摘要
对经病理诊断的５２例肝结核的临床资料进行了分析，其中６１．５％病人系经肝穿刺活检病理确诊。发现肝结核的主要临床表现有发热（９６．２％）、腹痛（４２．３％）、肝肿大（８８．５％），多数病人有血γ－球蛋白和碱性磷酸酶增高、血沉增快。我们认为对不明原因发热、伴有肝肿大或肝脾肿大、血γ－球蛋白和碱性磷酸酶增高、血沉增快的病人，应怀疑肝结核的可能，经皮肝穿刺活检病理检查和腹腔镜检查是确诊的主要手段。及时和正确诊断肝结核对治疗和预后有着积极意义。
he clinical characteristics of hepatic tuberculosis in 52 cases diagnosed pathologically were analyzed. Fever,abdominal pain and hepatomegaly were the major clinical manifestations;they were present in96.2%,42.3%and 88.5%of the patients respectively. The fever had no consistent pattern and the ab-dominal pain was usually localized to the right hypochondrium and not related to overwork.Hypergramma-globulinaemia,elevated alkaline phosphatase level and increased ESR were noted in most of the patients(76.9%, 75.O%, 76.5%respectively)。 62.5%of the 52 patients was diagnosed by percutaneous liver biopsy,Since there is no consistent clinical pattern in patients with hepatic tuberculosis,the diagnosis should be considered in patients with unexplained fever associated especially with hepatomegaly or hepa-tosplenomegaly,elevated alkaline phosphatase level,hypergrammaglobulinaemia and increased ESR,Liver biopsy is the rnost valuable method to confirm the diagnosis of hepatic tuberculosis.
出处
《中华内科杂志》
CAS
CSCD
北大核心
1995年第1期34-37,共4页
Chinese Journal of Internal Medicine
