化脓性肝脓肿是一种少见而危及生命的疾病。据多年报道,不用手术引流,化脓性肝脓肿几乎不可能痊愈。本文报道了成功地使用氨苄青霉素-舒巴克坦而不作手术引流治疗化脓性肝脓肿,并对化脓性肝脓肿病原及治疗方法作了相应的描述。男性,55岁,有嗜酒和胰腺炎病史。住院前2周发热、寒战、全身不适和右上腹部疼痛。实验室检查结果:血清白蛋白3.2g/dl,血清碱性磷酸酶239mIU/ml,总胆红素1.3mg/dl,白细胞计数18 400/mm~3,红细胞 Suppurative liver abscess is a rare and life-threatening disease. According to many years of reports, without surgical drainage, purulent liver abscess is almost impossible to heal. This article reports the successful use of ampicillin-sulbactam without surgical drainage for the treatment of septic liver abscess and describes the pathogens and treatment of septic liver abscess. Male, 55 years old, with history of alcoholism and pancreatitis. 2 weeks before hospital fever, chills, general malaise and right upper quadrant pain. Laboratory test results: serum albumin 3.2g / dl, serum alkaline phosphatase 239mIU / ml, total bilirubin 1.3mg / dl, white blood cell count 18 400 / mm ~ 3, red blood cells