细菌性肝脓肿治疗分析

Clinical Analysis on Bacterial Liver Abscess

目的总结细菌性肝脓肿的诊治经验。方法回顾性分析细菌性肝脓肿43例的临床特征、诊断与治疗的方法。结果8例行剖腹探查,腹腔引流术,1例行左肝叶切除。30例在B超引导下经皮肝穿刺引流加抗生素治疗,4例非手术治疗。41例治愈,2例因肝功能衰竭,败血症等并发症死亡。结论细菌性肝脓肿诊断以B超为首选,治疗以B超引导下置管引流加抗生素治疗为主,对穿刺置管引流失败或腹腔内有其他手术指征的患者应使用切开引流术。同时,及时控制原发灶极为重要。

Objective To summary the experience in diagnosis and surgical treatment of bacterial liver abscess. Methods The diagnosis and treatment of 43 patients were reviewed. Results 8 cases were abdominal explored ,30 cases weve treated by antibiotics ,4 cases nonoperative treatment, 41 cases cured ,2 cases died. The main clinical manifestations and signs were pains in the right upper abdomen ,fever, tenderness of right upper abdomen, hepatic tenderness blood routine shows increased. Conclusion The choice of the treatment of bacterial liver abscess should accord to different patient.