细菌性肝脓肿诊治进展

Progress in diagnosis and treatment of pyogenic liver abscess

细菌性肝脓肿是临床常见的肝脏感染性疾病。尽早、足量、静脉注射敏感抗生素联合经皮穿刺引流使得近年来细菌性肝脓肿的病死率下降。影像学的发展能够帮助临床医师对该病进行迅速诊断并定位。病原菌的变化和耐药逐渐成为新的关注点。基于此,分析了近年来国内外关于细菌性肝脓肿的文献,并结合自身临床工作体会,对细菌性肝脓肿的诊断、病原学及治疗进展进行了综述。

Pyogenic liver abscess（ PLA） is a common hepatic infectious disease. Early,sufficient intravenous injection of sensitive antibiotics combined with percutaneous drainage has led to a decrease in the mortality of PLA in recent years. And clinicians can diagnose and locate the disease quickly with the help of imaging modalities. The changes in pathogens and their drug resistance have gradually become a new focus of research. This article analyzes the literature on PLA in recent years and,with reference to the authors＇ experience in clinical practice,reviews the diagnosis,etiology,and treatment of PLA.