临床外科杂志
臨床外科雜誌
림상외과잡지
JOURNAL OF CLINICAL SURGERY
2001年
2期
96-97
,共2页
阑尾%血吸虫病%嗜酸性粒细胞%迟发型变态反应
闌尾%血吸蟲病%嗜痠性粒細胞%遲髮型變態反應
란미%혈흡충병%기산성립세포%지발형변태반응
目的 探讨阑尾血吸虫卵在阑尾炎发病过程中的作用及机理。方法 将225例阑尾炎病例按术后病检有无阑尾血吸虫分成二组进行比较分析。结果 (1)二组在发病第1天及发病3d以后，临床表现、阑尾穿孔及术后并发症发生率无显著性差异(P＞0.05)。(2)二组在发病的第2～3天，病理分型，术后并发症发生率有显著性差异(P＜0.05)，穿孔率有高度显著性差异(P＜0.01)。(3)两组病例，发病第1天嗜酸性粒细胞升高有显著性差异(P＜0.05)，发病第2～3天有高度显著性差异(P＜0.01)，发病3d后无显著性差异(P＞0.05)。结论 在阑尾炎的发病过程中，阑尾血吸虫卵引起迟发型变态反应，导致在发病的第2～3天，阑尾发生化脓、坏疽的可能明显增加。
目的 探討闌尾血吸蟲卵在闌尾炎髮病過程中的作用及機理。方法 將225例闌尾炎病例按術後病檢有無闌尾血吸蟲分成二組進行比較分析。結果 (1)二組在髮病第1天及髮病3d以後，臨床錶現、闌尾穿孔及術後併髮癥髮生率無顯著性差異(P＞0.05)。(2)二組在髮病的第2～3天，病理分型，術後併髮癥髮生率有顯著性差異(P＜0.05)，穿孔率有高度顯著性差異(P＜0.01)。(3)兩組病例，髮病第1天嗜痠性粒細胞升高有顯著性差異(P＜0.05)，髮病第2～3天有高度顯著性差異(P＜0.01)，髮病3d後無顯著性差異(P＞0.05)。結論 在闌尾炎的髮病過程中，闌尾血吸蟲卵引起遲髮型變態反應，導緻在髮病的第2～3天，闌尾髮生化膿、壞疽的可能明顯增加。
목적 탐토란미혈흡충란재란미염발병과정중적작용급궤리。방법 장225례란미염병례안술후병검유무란미혈흡충분성이조진행비교분석。결과 (1)이조재발병제1천급발병3d이후，림상표현、란미천공급술후병발증발생솔무현저성차이(P＞0.05)。(2)이조재발병적제2～3천，병리분형，술후병발증발생솔유현저성차이(P＜0.05)，천공솔유고도현저성차이(P＜0.01)。(3)량조병례，발병제1천기산성립세포승고유현저성차이(P＜0.05)，발병제2～3천유고도현저성차이(P＜0.01)，발병3d후무현저성차이(P＞0.05)。결론 재란미염적발병과정중，란미혈흡충란인기지발형변태반응，도치재발병적제2～3천，란미발생화농、배저적가능명현증가。
Objectives To study the effect and mechanism of theschistosomiasis on the occurrence of acute appendicitis.Methods 225 cases with appendicitis were divided into two groups according to whether or not the patient had appendix schistosomiasis by postoperative pathological examination.Results (1)clinical findings，perforation and postoperative complication incidence of the two groups were not significantly different (P＞0.05) on the first day and after 3 days of the occurrence of appendicitis.(2)During 2～3 days of the occurrence of appendicitis, pathological features and postoperative complication such as perforation were significantly different between the two groups(P＜0.05).(3)The number of the acidophilic granulocytes was significantly different between two groups on the first day, but there was no significant difference after 3 days.Conclusion In the occurrence of appendicitis schistosomiasis could increase the possibility of appendix suppuration and gangrene which may result from the delayed allergic reaction during 2～3 days of the occurrence of appendicitis.
