摘要
目的 总结小儿细菌性肝脓肿的诊治经验。方法 对 4 4例小儿细菌性肝脓肿进行回顾性分析。结果 1本病主要致病菌是葡萄球菌 ;2高热、寒颤及白细胞增高是本病的主要临床表现 ;3非手术治疗 2 5例 ( 5 6.8% ) ,手术引流及穿刺抽脓各 9例 ,肝叶切除 1例 ,全部病例痊愈。结论 1辅助检查首选 B超 ;2根据肝脓肿的分期及部位而选择不同的治疗方法。
Objective To summarize the experience of diagnosis and treatment of bacterial liver abscess in children.Methods 44 patients with bacterial liver abscess were studied retrospectively.Results ① Staphylococci are the main and common pathogenic bacterial of pyogenic liver abscess.② Chill, high fever and the increase of white blood cell are main clinical features of the disease.③ Conservative treatment,was performed in 25 cases,percutaneous drainage with ultrasonic guidance and operative drainage were carried out in 9 ones respectively,and hepatectomy for 1 case.All patients recovered uneventfully.Conclusion ① B-ultrasonography is the first choice in complementary examination for patients with bacterial liver abscess.② Liver abscesses should be treated according to the duration,size and location.
出处
《肝胆外科杂志》
2001年第4期275-277,共3页
Journal of Hepatobiliary Surgery
关键词
细菌性肝脓肿
诊断
治疗
儿童
Bacterial liver abscess in children
Diagnosis
Treatment
