本文通过５０例肝脓肿治疗中，胆道感染继发肝脓肿最多（３５．７％）。细菌培养厌氧菌往往是假阴性，所以在引流脓肿基础上采用联合应用抗生素。给药途径可分局部用药和全身用药，局部用药又分脓腔药液冲洗和门脉插管给药。本组病死率仅２．２％。单纯性阿米巴脓肿少见，对混合感染仍以细菌性肝脓肿治疗为主。 This article through the treatment of 50 cases of liver abscess, biliary tract infection secondary liver abscess (35.7%). Bacterial culture anaerobic bacteria are often false negative, so the combination of drainage on the basis of abscess antibiotics. Routes of administration can be divided into local and systemic medication, topical drug sub-abscess liquid irrigation and portal vein catheterization. The case fatality rate of only 2.2%. Simple amoebic abscess is rare, the mixed infection is still the treatment of bacterial liver abscess.