过去十年间,虽有抗菌素与现代手术技术等方法,膈下脓肿仍是一严重问题,其死亡率高于7.5%。鉴于这种感染的严重性,作者总结了1972年12月前十年间治疗的膈下脓肿病例,并研究了膈下间隙的解剖,从而推荐一个经外侧肋缘下浆膜外引流隔下脓肿的手术途径。作者进一步确认了Boyd氏对膈下间隙解剖的分类,即简单地分为四个间隙:右侧二个(膈下和肝下);左侧二个(膈下和小网膜腔)。即使按此简单的分类,脓肿的确切界限仍常难以确定,但由于有肝镰状靱 In the past decade, subphrenic abscesses were still a serious problem with antimicrobial agents and modern surgical techniques, with a mortality rate of more than 7.5%. In view of the severity of this infection, the authors summarize the cases of subphrenic abscess treated during the first decade of December 1972 and studied the anatomy of the subphrenic space, recommending a subdural septal abscess with a lateral margin Surgical approach. The authors further confirm Boyd’s classification of the subphrenic gap anatomy, which is simply divided into four gaps: two on the right (subphrenic and hepatic) and two on the left (subphrenic and minor omentum). Even with this simple classification, the exact boundaries of abscesses are still often difficult to determine, but because of liver sickles