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目的:总结细菌性肝脓肿的临床诊断和治疗经验。方法:回顾性分析33例细菌性肝脓肿病人的诊断与治疗方法。结果:诊断细菌性肝脓肿33例,3例单纯抗菌药物及支持治疗,18例经B超引导肝穿刺冲洗或置管引流,5例肝脓肿切开引流或加大网膜填塞,6例腹腔镜置管引流,1例肝部分切除。结论:细菌性肝脓肿诊断依据临床表现及B超和CT/MRI检查,治疗采用单纯抗菌药物及支持治疗、B超引导肝穿刺冲洗或置管引流、手术切开引流或加大网膜填塞、腹腔镜置管引流、肝部分切除术。
Objective: To summarize the clinical diagnosis and treatment experience of bacterial liver abscess. Methods: A retrospective analysis of 33 cases of bacterial liver abscess in patients with diagnosis and treatment. Results: 33 cases of bacterial liver abscess were diagnosed, 3 cases were treated with antibacterial drugs and supportive therapy alone, 18 cases were guided by B-ultrasonography or catheter drainage, 5 cases of liver abscess incision and drainage or enamel packing, 6 cases of abdominal cavity Mirror tube drainage, 1 case of partial hepatectomy. Conclusions: The diagnosis of bacterial liver abscess is based on the clinical manifestations and B-ultrasound and CT / MRI examination. The treatment is based on antibacterial drugs and supportive therapy alone. B-guided liver puncture flushing or catheter drainage, surgical incision and drainage or increased omentum packing, Laparoscopic catheter drainage, partial hepatectomy.