左氧氟沙星治疗TACE后胆汁瘤合并感染的疗效观察

Observation of the effect levofloxacin in treating biloma combined with infection after TACE

目的观察静脉滴注左氧氟沙星治疗TACE后胆汁瘤合并感染的临床疗效。方法对8例TACE后胆汁瘤合并感染患者,采用以静脉滴注左氧氟沙星为主的综合治疗,观察患者治疗前后临床症状和血常规变化。临床症状消失和血常规恢复正常两者均具备为治愈,两者具备之一为有效,两者均不具备或左氧氟沙星耐药为无效。结果 7例治愈,其中1例加用青霉素后治愈,1例同时行经皮肝穿刺胆汁瘤置管引流治愈;1例无效。8例患者均无药物相关并发症发生。结论静脉滴注左氧氟沙星治疗TACE后胆汁瘤合并感染疗效满意,不良反应轻微。

Objective To observe the clinic effect of intravenous drip levofloxacin in treating biloma combined with infection after TACE. Methods Eight patients of biloma combined with infection after TACE were treated with intravenous drip levofloxacin. The change of clinic symptom and blood routine before and after the treatment were reviewed. The ＂cure＂ was defined as clinic symptom and blood routine turned normal. The ＂effect＂ was defined as the clinic symptom or blood routine turned normal. If there were no relieve in clinic symptom and blood routine, the treatment was judged as ineffective. Results Seven patients were cured only by intravenous drip levofloxacin and one of these seven patients was cured by intravenous drip levofloxacin combined with laevomycetin. One of these seven patients was cured by intravenous drip levofloxacin combined with percutaneous puncture tube drainage. Only one patient was ineffective, There was no drug correlated complication occurred. Conclusion The effect of intravenous drip levofloxacin in treating biloma combined with infection is sure and has little adverse effect.