医学培训课件 结核性腹膜炎英文版.ppt
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1、Tuberculous Abdomen Circumferential ulceration is characteristic of intestinal tuberculosis. Epidemiology of GI TB Extrapulmonary TB represented 28.2% of all reported TB cases. Gastrointestinal TB was the 2nd most common type of TB. Extrapulmonary TB: difficult to diagnose? Several forms of extrapul
2、monary TB lack any of the localizing symptoms or signs. Cutaneous anergy to PPD was noted in 35-50% of patients. No clinical or radiological evidence of pulmonary TB could be found in up to one 3rd of these patients. Introduction TB can involve any part of GIT from mouth to anus, peritoneum 38(6):59
3、2-7. Endoscopic diagnosis? Lee et al hypothesized that a diagnosis of Crohns disease could be made when the number of parameters characteristic of Crohns disease was higher than the number of parameters characteristic of intestinal tuberculosis, and vice versa. Endoscopy. 2006 Jun;38(6):592-7. Endos
4、copic findings: TB In tuberculosis patients, transverse ulcers with surrounding hypertrophic mucosa and multiple erosions were usual colonoscopic findings. Am J Gastroenterol 1998;93: 606609. Gastrointest Endosc 2004;59:362-8. Typical transverse ulcer Gastrointest Endosc 2004;59:362-8. Radiology thi
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