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胰腺结核一例

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF PANCREATOLOGY
Issue:
1
DOI:
10.3760/cma.j.issn.1674-1935.2005.01.015
Key Word:
No keyword available

Abstract: @@ 患者男,4岁,以"间断性发热伴右上腹不适3月,再发5 d"主诉入院.3月前受凉后寒战发热,体温最高达40℃,呈稽留型,伴右上腹隐痛不适,无呕吐及巩膜黄染,当地给予青霉素,氨苄青霉素等无效,此后反复发热,约2 ~ 3周1次,给退热药后均好转.无明显消瘦、贫血、乏力、纳差等不适.5 d前再次发热,在外院查腹部B超及CT示肝门部改变,遂来我院行上腹部增强CT示:胰头及钩突部肿大,强化后有蜂窝状改变,考虑:(1)化脓性病灶;(2)胰头部肿瘤.为进一步诊治入院.既往无结核病史.体检:T 39.2℃,营养中等,双侧锁骨上可触及3 ~ 4个肿大淋巴结,每个约1.5 cm大,无压痛,巩膜无黄染,无其他阳性发现.血沉65 mm/h,肝功能正常,胸片无异常,血培养无细菌生长,PD试验3 + ,行右锁骨上淋巴结活检.病理示:结核性干酪样坏死,遂考虑为胰头结核.给予抗结核(利福平、异烟肼、链霉素)三联治疗, d后体温降至37.5℃, d后正常,月及4月后2次复查CT示病灶逐渐缩小.

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