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目的探讨结核性腹膜炎并粘连性不全肠梗阻的特点和治疗方法。方法对龙岩市第二医院1998年1月至2006年1月期间收治的结核性腹膜炎并粘连性不全肠梗阻30例患者,对其诊断治疗及出院后随访情况进行回顾性分析。结果30例患者以内科保守治疗为主综合治疗缓解或治愈29例,随访1～10年末再发作,1例反复发作多次住院出院后失访。结论全面、细致的内科保守治疗为主综合治疗能缓解或治愈多数结核性腹膜炎并粘连性不全肠梗阻病例。
Objective To investigate the characteristics and treatment of tuberculous peritonitis with adhesive intestinal obstruction. Methods Thirty patients with tuberculous peritonitis and adhesive intestinal obstruction who were admitted to the Second Hospital of Longyan from January 1998 to January 2006 were retrospectively analyzed for their diagnosis, treatment and follow-up after discharge. Results Thirty patients were treated with conservative medical therapy, of which 29 cases were relieved or cured by comprehensive treatment. The patients were re-attacked at the end of follow-up from 1 to 10 years and one case was repeatedly hospitalized for repeated episodes. Conclusion Comprehensive and meticulous medical treatment based on comprehensive treatment can relieve or cure most cases of tuberculous peritonitis and adhesive intestinal obstruction cases.