腹腔注射异烟肼和地塞米松治疗结核性腹膜炎20例

目的:探讨腹腔中注射异烟肼和地塞米松对结核性腹膜炎的治疗作用.方法:在全身抗结核治疗的基础上,对20例结核性腹膜炎病人腹腔内注入异烟肼0.1g及地塞米松2mg,以27例未腹腔内注药的病人作对照.结果:局部注药后,腹痛1月内缓解率优于对照组(P<0.005).腹水消失时间优于对照组(P<0.02),随访至2004年1月未发生肠梗阻病例.结论:腹腔内注入异烟肼和地塞米松是治疗结核性腹膜炎的有效辅助方法.

Treatment of 20 Cases of Tuberculosis Peritonitis with Injecting Isoniazid and Dexamethasone in Abdominal Cavity

Objective:To investigate the therapeutic effects of injecting Isoniazid and Dexa-methasone in abdominal cavity for treating peritoneal tuberculosis patients.Methods:20 cases of the treatment group were given antituberculotic constitutional treatment and injected Isoniazid 0.1g and Dexamethasone 2mg in abdominal cavity.And 27 cases of the control group were given anti-tuberculotic constitutionaltreatment only.Rersults:Withabdominalinjection,therateofabdominalgia remission within 30 days and the hydroperitoneum vanishing in the treatment group were significantbetter than those at the control group(P < 0.005,P < 0.02).Follow-up to Jan.,2004,none case of intestinal obstruction hasbeen found in the treatment group.Conclusions:It is an effective assistanttherapy for tuberculosis peritonitis to injecting Isoniazid and Dexamethasone in abdominal cavity.