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目的探讨糖尿病合并细菌性肝脓肿的临床特点和诊治体会。方法回顾性分析133例糖尿病合并肝脓肿患者的相关临床资料,分析发病原因、细菌学特点。结果发热为主要临床表现,肺炎克雷伯菌为主要病原菌,脓肿穿刺引流可缩短病程。结论 B超、CT是诊断肝脓肿的重要手段,选择合适的治疗方法可缩短病程及改善预后。
Objective To investigate the clinical features and diagnosis and treatment of diabetic liver bacterial abscess. Methods Retrospective analysis of 133 cases of diabetic patients with liver abscess related clinical data, analysis of the causes of the disease, the bacteriological characteristics. Results The main clinical manifestations of fever, Klebsiella pneumoniae as the main pathogen, abscess drainage can shorten the course of the disease. Conclusion Ultrasonography and CT are the important methods to diagnose liver abscess. Choosing the appropriate treatment can shorten the course and improve the prognosis.