甲硝咪唑(灭滴灵)是合并脓肿引流术治疗肝阿米巴脓肿的一种选用药物,但并不都有成效,其主要原因是由于用药剂量不当。本文报告了用推荐剂量的灭滴灵治疗1例多发性肝脓肿患者的效应。患者是尼日利亚的一名52岁的轮船乘务员,已有2周的发热,不安及右腹痛的病史。入院时,出汗,不适,发热39℃。叩诊右肺底有浊音,同侧第9～12肋部压痛,肝未扪及,血红蛋白12. 4毫克/100毫升,白细胞计数13,400,红细胞沉降率66毫米/小时。胸部 X 线检查,显示右侧有胸膜渗出液。阿米巴荧光抗体试验呈强阳性反应,两次从肝脓肿吸出典型的阿米巴性脓液而确诊。治疗开始给予口服灭滴灵800毫克,每日4次。治疗 Metronidazole (metronidazole) is a combination of abscess drainage for the treatment of hepatic amoebiasis an optional drug, but not all effective, the main reason is due to inappropriate dosage. This article reports the effect of metronidazole in one patient with multiple liver abscess at the recommended dose. The patient is a 52-year-old ship attendant in Nigeria who has a 2-week history of fever, anxiety and right-sided pain. Admission, sweating, discomfort, fever 39 ℃. Percussion right dull bottom of a voiced sound, ipsilateral ribs 9 to 12 tenderness, liver palpable, hemoglobin 12.4 mg / 100 ml, white blood cell count 13,400, erythrocyte sedimentation rate 66 mm / h. Chest X-ray showed pleural effusion on the right. The amoebic fluorescent antibody test was strongly positive and was diagnosed twice with typical amebic pus aspirated from a liver abscess. Treatment began to give oral metronidazole 800 mg 4 times a day. treatment