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目的探讨肠系膜淋巴结核的病例诊断治疗。方法详细询问病史及是否有结核病症状,细胞免疫测定对诊断有帮助。治疗上以抗结核为主。结果肠系膜淋巴结核症状常很隐蔽;尚未被侵犯胸部时,透视或胸片可阴性;肠组织尚未被侵犯时钡餐、肠道、大便检查可为阴性;因免疫功能差,结核菌素试验、结核抗体常阴性而导致漏诊肠系膜淋巴结核。采用抗结核治疗疗效肯定、效快、满意。结论久治不愈的便秘、腹泻或便秘、腹泻交替的病人有的是肠系膜淋巴结核,可试抗结核治疗。
Objective To investigate the case diagnosis and treatment of mesenteric lymph node. Method for detailed history and whether there are symptoms of tuberculosis, cell immunoassay for the diagnosis helpful. Anti-TB treatment based. Results Mesentery lymph node tuberculosis symptoms often subtle; has not been violated the chest, the perspective or chest X-ray can be negative; intestinal tissue has not been violated barium meal, intestine, stool examination can be negative; due to poor immune function, tuberculin test, tuberculosis Negative antibody often lead to missed diagnosis of mesenteric lymph nodes. The efficacy of anti-TB treatment is positive, fast, satisfied. Conclusion Long-term healing of constipation, diarrhea or constipation, diarrhea, alternating some patients with mesenteric lymph node tuberculosis, anti-TB test can be treated.