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目的探讨丝虫性乳糜性腹膜炎合并中毒性休克的诊治要点。方法对11例急性丝虫性乳糜性腹膜炎合并中毒性休克患者的临床资料进行分析。结果11例患者中,1例因误诊为急性阑尾炎穿孔而行剖腹手术,术后死亡,其余10例确诊后,予抗休克、抗丝虫及抗感染等治疗,痊愈出院。结论及时腹腔穿刺、腹水乳糜定性、乳糜腹水和血查找丝虫对诊断具有决定性意义;使用大剂量激素和正确抗丝虫药物是治疗的关键。
Objective To investigate the diagnosis and treatment of filarial chylomicrons peritonitis complicated with toxic shock. Methods The clinical data of 11 patients with acute filariasis chylomicronitis combined with toxic shock were analyzed. Results Of the 11 patients, one patient was operated on laparotomy due to misdiagnosis of perforation of acute appendicitis and died after operation. The remaining 10 patients were diagnosed with anti-shock, anti-filarial and anti-infective therapy and were discharged. Conclusions Timely paracentesis, chylous ascites, chylous ascites and blood finding filariasis are of decisive significance for diagnosis. The use of high-dose hormones and correct anti-filarial drugs is the key to treatment.