丝虫性乳糜性腹膜炎合并中毒性休克的临床诊治

Clinic diagnosis and treatment to filarial chyle peritonitis complicated with toxic shock

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 study the diagnosis and treatment for filarial chyle peritonitis complicated with toxic shock. Methods We did analysis the factor and diagnostic principle to 11 cases of filarial chyle peritonitis complicated with toxic shock. Results Among 11 patients, 1 case was misdiagnosed with acute appendicitis perforation and was performed exploration operation who died after operation. The rest 10 cases were final diagnosed,who were given the treatment of anti-shock, anti-filaria and anti-inflammation and cured. Conclusions Promptly abdominal paracentesis, ascites chyle qualitative determination,chyle ascites and blood, finding filarial have decisive significance to diagnosis. And large dosage of hormone and correct anti-filaria drug are key factors in treatment.