摘要
目的探讨小儿血液系统恶性疾病合并外科急腹症的诊断与治疗，以提高对小儿恶性血液病并发急腹症的认识，改善该类患者的预后。方法对13例恶性血液病并发急腹症患者进行回顾性分析。13例中，急性淋巴细胞白血病6例，MDS转化的急性髓细胞白血病1例，慢性粒细胞白血病1例，红白血病1例，再生障碍性贫血2例，淋巴瘤2例。7例行手术治疗，6例予保守治疗。结果7例手术患儿中，4例急腹症获治愈，待内科疾病缓解后出院；1例急腹症治愈，后死于内科疾病；2例术后早期自动出院，其中1例死亡。6例保守治疗患儿中1例死亡，5例临床症状缓解。结论各种恶性血液病在疾病的任何阶段均可并发多种急腹症，手术治疗是挽救患儿生命的重要手段之一。应根据原发病所处的阶段以及急腹症的类型和严重程度，给予及时诊断和恰当治疗，以利于改善该类患者的预后。
Objctive To investigate the operative indications and prognosis for acute abdomen compli- cated with malignant hematopathy in children. Methods The experience of clinical treatment in 13 cases of acute abdomen complicated with malignant hematopathy was analyzed. Primary diseases consisted of acute leu- kemia, acute myelocytic leukemia, chronic granulocytic leukemia, erythroleukemia, aplastic anemia, lymphoma. The acute abdominal conditions included appendicitis, periappendiceal abscess, intestinal obstruction, intestinal perforation, acute cholecystitis. Seven patients were underwent operation. Intensive postoperative care, nutrition support, anti-infective therapy were taken. Results Diseases causing acute abdomen were operated in 7 Cases. In these seven cases,4 patients checl~ out, and one died of medical disease after operation. And the other two were Automatic discharged. Six patients adopt conservative treatment. One patient die and clinical remission occured in 5 patients. Conclusion The type of acute abdomen was related with primary disease and chemo- therapy. Reasonable operation is the effective process to save the patients.
出处
《临床小儿外科杂志》
CAS
2013年第4期311-313,共3页
Journal of Clinical Pediatric Surgery
基金
安徽医科大学校科研基金,项目编号：2011xkj070
