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本例腹膜结核属粘连型腹膜结核,病理特点为腹腔内纤维蛋白沉积,逐渐形成壁层腹膜、肠管浆膜、肠系膜和大网膜之间的广泛粘连。腹膜增厚,腹腔完全闭塞成团。在粘连之间可有结核性肉芽组织和干酪样坏死病灶存在。1病例介绍患者,女,22岁,未婚,汉族,因发现下腹包块1个月,伴腹胀不适1周,前来就诊以“卵巢肿瘤”待查收住院。入院查体:T 38℃P 96次/min,R 23次/min,Bp 110/80 mm Hg,发育正常,痛苦病容,精神萎靡,消瘦,心肺无明显异常;下腹可
In this case, peritoneal tuberculosis is an adhesive type of peritoneal tuberculosis, pathological features of intra-abdominal fibrin deposition, the gradual formation of parietal peritoneum, intestinal serosa, mesentery and omentum between the extensive adhesion. Peritoneal thickening, abdominal cavity completely occluded. Between adhesions may have tuberculous granulation tissue and caseous necrosis lesions exist. 1 case description The patient, female, 22 years old, unmarried, Han nationality, found the lower abdomen mass 1 month, with abdominal distension discomfort for 1 week, come to the doctor to “ovarian cancer” to be admitted to hospital. Admission examination: T 38 ℃ P 96 times / min, R 23 times / min, Bp 110/80 mm Hg, normal development, painful illness, apathetic, weight loss, no obvious abnormal heart and lung; lower abdomen