一例肝脓肿患者的诊疗经过——用全科医学思维明确发热原因

Diagnosis and Treatment of a Patient with Liver Abscess—to Identify the Cause of Fever with General Practice Diagnosis Strategy

肝脓肿是常见的肝脏系统感染性疾病,严重时可危及患者生命,必须早发现,早治疗。但是肝脓肿患者的症状不典型,缺乏特异性,容易误诊。本文报道了1例以发热为主要症状的肝脓肿患者的诊疗过程,阐述了全科医生运用以患者为中心的全科思维,从多系统多器官角度思考分析症状不典型的肝脓肿患者,并做出明确诊断,为患者得到及时救治争取了宝贵时间。希望通过本病例分享,为临床上寻求最佳的全科思维模式提供参考,提高全科思维意识,减少误诊、漏诊。

Liver abscess is a common liver system infectious disease,which can threaten the lives of patients in severe cases.So it must be discovered and treated early.However,the symptoms of patients with liver abscess are generally not typical,lack of specificity and are misdiagnosed easily.The process of diagnosis and treatment for a case of patient with liver abscess mainly presented as fever was reported in this manuscript.The patient-centered thinking model was applied to analyze the patient with atypical liver abscess from the perspective of multi-system and multi-organ by general practitioner,so as to make a clear diagnosis and gain precious time for the patient to receive timely treatment.It is hoped that through sharing this case,the best thinking mode of general practice can be builted,the thinking conscious of general practice can be increased,and misdiagnosis and missed diagnosis can be reduced.