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目的总结B超引导下经皮穿刺联合药物治疗糖尿病并发肝脓肿的效果。方法回顾分析18例糖尿病并发肝脓肿患者的临床资料。结果18例肝脓肿患者在局部治疗的同时,均辅以全身药物治疗,调整胰岛素的剂量、控制血糖,加强支持治疗。总有效率达100%,无1例出现并发症。随访6个月,复查B超均显示病灶无复发迹象。结论糖尿病并发肝脓肿病死率较高,多见于高龄患者,应重视预防。积极控制血糖,早期、足量、联合应用抗生素,及早行B超引导经皮肝脓肿穿刺抽脓术是治疗肝脓肿的关键。
Objective To summarize the effect of B-guided percutaneous puncture combined with drug treatment of diabetic patients with liver abscess. Methods Retrospective analysis of 18 cases of diabetic patients with liver abscess clinical data. Results 18 cases of liver abscess patients in the local treatment at the same time, are supplemented by systemic drug therapy, adjusting the dose of insulin, blood sugar control, and strengthen supportive treatment. The total effective rate of 100%, no one case of complications. All the patients were followed up for 6 months. The B ultrasound examination showed no signs of recurrence. Conclusions The mortality of diabetic patients with liver abscess is high, which is more common in elderly patients. Prevention should be emphasized. Positive control of blood glucose, early, adequate, combined antibiotics, as early as the line B-percutaneous liver abscess aspiration is the key to the treatment of liver abscess.