目的 :分析细菌性肝脓肿的临床特点。方法 :收集 40例细菌性肝脓肿的临床资料 ,分析了细菌性肝脓肿的临床表现 ,并探讨误诊原因。结果 :细菌性肝脓肿一般起病多较急骤 ,发热、寒战、肝区疼痛为主要临床表现 ,诊断以超声波和X线断层摄影为主要手段 ;手术是首选治疗方法。结论 :应增强对细菌性肝脓肿的警惕性 ,早期确诊是降低病死率、提高治愈率的关键 Objective: To analyze the clinical features of bacterial liver abscess. Methods: The clinical data of 40 cases of bacterial liver abscess were collected, the clinical manifestations of bacterial liver abscess were analyzed, and the causes of misdiagnosis were discussed. Results: Bacterial liver abscess usually had more onset, fever, chills and liver pain as the main clinical manifestations. Ultrasound and X-ray tomography were the main methods of diagnosis. Surgery was the first choice of treatment. Conclusions: Vigilance on bacterial liver abscess should be enhanced, and early diagnosis is the key to reduce mortality and improve cure rate