论文部分内容阅读
本文报告一例患者,年龄38岁,因恶心、寒战和右髂窝疼痛住院。体温37.2℃,在右髂窝触到有一个回缩性疼痛的肿块。患者在入院前8个月由于直肠出血及脱垂而行痔切除术。白细胞计数18,000/微升,血沉21毫米/小时,3次粪检阿米巴阴性。钡剂灌肠显示盲肠和一处乙状结肠不充盈,经继续灌进钡剂后充盈并显现正常。在住院第6日因有局部腹膜炎体征而行剖腹术,见大肠被盖血管翳,并发现盲肠阿米巴肉芽肿,因此施行了右侧部分结肠切除术。标本组织学检查证明有吞噬红细胞的阿米巴滋养体,给患者用氯喹和四环素进行了治疗。手术前曾做凝胶扩散试验,呈阳性反应。患者在术后17天出院。6周后患者因出现大肠梗阻又进行了钡剂灌
This article reports a patient, aged 38, hospitalized for nausea, chills and right iliac pain. Body temperature 37.2 ℃, touch in the right iliac fossa with a retractive pain. Patients underwent hemorrhoidectomy 8 months prior to admission due to rectal bleeding and prolapse. WBC count 18,000 / microliters, erythrocyte sedimentation rate 21 millimeters / hour, three fecal examination amoeba negative. Barium enema showed a cecum and a sigmoid colon is not full, continued filling the barium filling and showed normal. In the hospital on the 6th due to signs of local peritonitis laparotomy, see the large intestine was covered with blood vessels and found that the cecum caecalis, so the implementation of the right part of the colon resection. Histological examination of the specimen proved to have phagocytosed erythrocytes, trophozoites, and patients were treated with chloroquine and tetracycline. Before surgery gel diffusion test done, a positive reaction. The patient was discharged 17 days after surgery. After 6 weeks, the patient developed a barium infusion due to bowel obstruction