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本文对细菌性肝脓肿近年来的诊断治疗进展作一介绍。该病典型的临床症状现已少见,目前多将其分为多发性和单个性两类,两者临床表现、治疗和预后显著不同。细菌学变迁的特点为克雷伯氏菌上升至首位,金(?)菌为最常见的阳性菌,约半数患者脓液中可检出厌氧菌,因此抗生素治疗应同时针对需氧菌和厌氧菌。B 型超声显像和肝脏 CT 是当前最精确的检查方法,超声波指导下的经皮肝穿刺抽脓和 CT 扫描指导下的经皮导管引流为治疗的首选技术。部份病人单独抗生素治疗获得成功,但多数病人应采用抗生素和引流联合治疗。
This article describes the progress of diagnosis and treatment of bacterial liver abscess in recent years. The typical clinical symptoms of the disease are now uncommon, the current will be more divided into multiple and single two categories, the two clinical manifestations, treatment and prognosis were significantly different. Bacteriological changes characterized by Klebsiella rose to the first place, gold (?) Bacteria is the most common positive bacteria, about half of patients with anaerobic bacteria can be detected in the pus, antibiotic treatment should be simultaneously for aerobic and Anaerobic bacteria. B-mode ultrasound imaging and hepatic CT are the most accurate methods of examination currently available. Percutaneous transhepatic aspiration and percutaneous catheter drainage under the guidance of ultrasound are the preferred techniques of treatment. Some patients were successful antibiotic treatment alone, but most patients should be treated with antibiotics and drainage.