肝脓肿合并糖尿病85例的临床特点分析

Clinical characteristics of 85 patients with liver abscess complicated by diabetes mellitus

目的探讨肝脓肿合并糖尿病的临床特点。方法回顾性分析85例肝脓肿合并糖尿病及同期66例单纯性肝脓肿的临床资料。结果肝脓肿合并糖尿病病例年龄大于单纯性肝脓肿组(P<0.05),多见2型糖尿病,更常出现循环、消化及中枢神经系统症状,血白蛋白、血钾明显低于单纯性肝脓肿组(P<0.05),出现多器官功能衰竭几率和病死率高于单纯性肝脓肿组(P<0.01)。结论肝脓肿合并糖尿病好发于2型糖尿病,同时具有高消耗表现,常有循环、消化系统或中枢神经系统症状,预后差。

Objective To study the clinical characteristics of patients with liver abscess complicated by diabetes mellitus （LA-DM）. Methods Clinical data of 85 patients with LA-DM and 66 patients with LA were reviewed. Results Age of the LA-DM was significantly higher than that of LA group （ P 〈 0. 05 ） ; LA-DM often was found in type 2 diabetes, the level of serum potassium and albumen in LA-DM group were lower than those in LA group（P 〈 0. 05）. The incidence of symptomy of C. N. S, circulatory system, digestive system, MODS and mortality in LA-DM group were higher than those in LA group （P 〈 0. 01 ）. Conclusion LA-DM often appears in type 2 diabetes, has features of hyper-consumption, has conspicuous clinical manifestation of gastrointestinal tract or center nervous system, circulatory system and poor prognosis.