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目的 :总结细菌性肝脓肿的诊治经验。方法 :回顾性分析 1994年～ 2 0 0 1年我院收治的 48例细菌性肝脓肿临床诊断与治疗的有关资料。服用中药及抗生素 9例 (18 7% ) ,穿刺引流服用中药 15例 (31 3% ) ,穿刺置管引流 19例 (39 5 % ) ,手术引流 5例 (10 4% )。结果 :75 %的病例来自胆道感染 ,47 9%的病例患有糖尿病。寒战发热、肝区疼痛及白细胞增高是本病的主要临床表现 ,全部病例治愈。结论 :治疗细菌性肝脓肿需根据分期及部位而选择不同的治疗方法。
Objective: To summarize the diagnosis and treatment of bacterial liver abscess. Methods: The clinical data of 48 cases of bacterial liver abscess treated in our hospital from 1994 to 2001 were analyzed retrospectively. Nine patients (18.7%) took traditional Chinese medicine and antibiotics, 15 (31.3%) received traditional Chinese medicine by puncture and drainage, 19 (39.5%) were punctured by catheter and 5 (104%) by drainage. RESULTS: Seventy-five percent of cases were from biliary tract infections and 47.9% were diabetic. Chills fever, liver pain and leukocytosis is the main clinical manifestations of the disease, all cases were cured. Conclusion: The treatment of bacterial liver abscess according to staging and location and choose a different treatment.