中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
14期
35-36
,共2页
细菌性肝脓肿%诊断%治疗
細菌性肝膿腫%診斷%治療
세균성간농종%진단%치료
Bacterial liver abscess%Diagnosis%Treatment
目的 探讨细菌性肝脓肿的诊治经验.方法 回顾性分析我院自2000年12月至2008年12月收治76例细菌性肝脓肿的临床特征、实验室及影像学检查、微生物学检查、治疗方法和预后.结果 糖尿病、胆道疾病是细菌性肝脓肿的最常见病因,绝大多数患者的血常规检查示白细胞不同程度升高,B超、CT是影像学检查的重要手段.多数患者通过保守治疗及经皮脓肿穿刺和(或)置管引流而治愈.结论 细菌性肝脓肿以肺炎克雷伯菌、大肠埃希氏菌感染多见,治疗宜及时采取个体化和综合措施,必要时应早期外科处理.
目的 探討細菌性肝膿腫的診治經驗.方法 迴顧性分析我院自2000年12月至2008年12月收治76例細菌性肝膿腫的臨床特徵、實驗室及影像學檢查、微生物學檢查、治療方法和預後.結果 糖尿病、膽道疾病是細菌性肝膿腫的最常見病因,絕大多數患者的血常規檢查示白細胞不同程度升高,B超、CT是影像學檢查的重要手段.多數患者通過保守治療及經皮膿腫穿刺和(或)置管引流而治愈.結論 細菌性肝膿腫以肺炎剋雷伯菌、大腸埃希氏菌感染多見,治療宜及時採取箇體化和綜閤措施,必要時應早期外科處理.
목적 탐토세균성간농종적진치경험.방법 회고성분석아원자2000년12월지2008년12월수치76례세균성간농종적림상특정、실험실급영상학검사、미생물학검사、치료방법화예후.결과 당뇨병、담도질병시세균성간농종적최상견병인,절대다수환자적혈상규검사시백세포불동정도승고,B초、CT시영상학검사적중요수단.다수환자통과보수치료급경피농종천자화(혹)치관인류이치유.결론 세균성간농종이폐염극뢰백균、대장애희씨균감염다견,치료의급시채취개체화화종합조시,필요시응조기외과처리.
Objective To investigate the experience in diagnosis and surgical treatment of bacterial liver abscess.Methods The diagnosis and treatment of 76 patients with bacterial liver abscess from 2000 to 2008 years were reviewed retrospectively.Results Biliary tract disease and diabetes were most frequent causes responsible for bacterial liver abscess.Blood routine showed WBC increased significantly in most cases. Ultrasound and computed tomography were important modality for diagnosis. Percutaneous and transhepatic cholangiography drainage of bacterial liver abscess can be used for most cases,which was simple and safe. Conclusions The most frequent pathogens isolated from bacterial liver abscess are klebsiella pneumoniae and eschedchia coli. Bacterial liver abscess patients should be treated with individual and comprehensive approaches in time.Earlier surgical processes should be takem if necessary.
