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目的总结2型糖尿病合并肝脓肿的诊治经验。方法回顾性分析13例2型糖尿病合并细菌性肝脓肿患者的临床资料。结果 2型糖尿病合并肝脓肿症状多不典型,容易受糖尿病及其他并发症症状干扰,造成误诊。肝脏超声是肝脓肿的首选检查,必要时CT检查可协助鉴别占位性病变。结论糖尿病患者血糖不易控制、感染迁延难愈,应考虑并发肝脓肿,客观真实全面掌握资料,动态监测病情变化,及时完善必要检查、定期复查,可减少误诊。
Objective To summarize the diagnosis and treatment of type 2 diabetes with liver abscess. Methods The clinical data of 13 patients with type 2 diabetes mellitus combined with bacterial liver abscess were retrospectively analyzed. Results Type 2 diabetes with liver abscess symptoms are atypical, susceptible to the symptoms of diabetes and other complications, resulting in misdiagnosis. Liver ultrasound is the first choice of liver abscess, if necessary, CT examination can help identify space-occupying lesions. Conclusion The blood sugar of diabetic patients is not easy to control and the infection is delayed and refractory. Complications of liver abscess should be considered. Objective, objective and complete data are available to monitor the changes of the disease dynamically. Necessary tests and periodic reviews are completed in time to reduce misdiagnosis.