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作者于1977～1980年在埃及开罗研究不明原因发热的病例中,用对流免疫电泳血清学试验和肝脏同位素扫描诊断出24例肝阿米巴病患者,并用甲硝咪唑和四环素进行治疗。结果表明:用对流免疫电泳血清学检查,24例中有20例呈强阳性反应。肝脏经同位素扫描,21例脓肿在右叶,其中9例在肝右叶上段,8例在下段,4例累及整个肝右叶。2例在左叶,一例两叶均有。经临床、血清学和同位素扫描确诊后,全部病例用甲硝咪唑(750mg tid)并用四环素(500mg qid)进行治疗,疗程为10天。除一病人外,所有病例在开始治疗后2～5天体温恢复正常、肝脏触痛明显减轻,临床毒性症状消失。8例患者一个疗程后脓肿完全消退而痊愈。这些病人脓肿的
In 1977-1980 in Cairo, Egypt, study of unexplained fever cases, 24 patients with hepatic amoebiasis were diagnosed by convective immunoelectrophoresis serological test and liver isotope scan and treated with metronidazole and tetracycline. The results showed that: using convective immunity electrophoresis serological examination, 24 cases of 20 cases showed a strong positive reaction. The liver was scanned by isotopes, with 21 abscesses in the right lobe, 9 in the upper right lobe, 8 in the lower lobe and 4 involving the right lobe of the liver. 2 cases in the left lobe, a case of two leaves are. After clinical, serological and isotope scans, all patients were treated with metronidazole (750 mg tid) and tetracycline (500 mg qid) for 10 days. In addition to a patient, all cases 2 to 5 days after the start of treatment returned to normal temperature, liver tenderness significantly reduced, clinical symptoms disappeared. 8 patients after a course of ablation completely subsided and healed. Abscesses in these patients