巧克力色脓液是诊断阿米巴肝脓肿的可靠依据,但肝穿刺常因抽得血液而终止,以致影响诊断与治疗。文献(3)上曾纪录有开始多次穿刺均抽得血液,但稍过时日最后仍以穿刺获得巧克力色脓液明确诊断的实例。笔者亦有相似的经历,唯发现一例抽出之“血液”却不凝 Chocolate pus is a reliable basis for the diagnosis of amoebic liver abscess, but often because of hepatic puncture and termination of blood, resulting in the impact of diagnosis and treatment. Document (3) had recorded the beginning of multiple punctures are pumped blood, but a little longer than the last puncture to obtain a clear diagnosis of chocolate pus example. I also have a similar experience, only to find a case of “blood” but not condensate