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1.本文报告肝阿米巴病86例的临床分析,发病年龄在21—50岁間,男女病例数之比为1.8:1,与內科同期住院之男女病人总数作比較,发現男女发病率无差別。国內外各家报告一致认为女性甚少患本病,本文不能証实此点。 2.妊娠为本病诱发因素之一。孕妇患病时起病急,貧血及低血浆蛋白較重.且易早产。 3.过去及发病前后有腹泻或痢疾者占72％。 4.临床表現以发热,肝区疼痛,食欲不振,肝肿大及压痛,貧血及白血球升高为主。X綫常見右膈升高及运动减弱。 5.肝功能試驗不正常者占72.4％。 6.由粪中找到阿米巴者占30.8％,仪19.7％病例在脓液中找到阿米巴。 7.本文有31.3％患者发生穿破合并症,以穿破至胸腔最为常见,其次为腹腔及腹壁,发生穿破后预后较差。 8.总的病死率为9.3％,內科疗法的病死率为7.6％,外科手术疗法的病死率为14.2％。
1. This article reports the clinical analysis of 86 cases of hepatic amoebiasis, the age of onset in the 21-50 years old, the ratio of male to female cases was 1.8: 1, compared with the total number of male and female patients hospitalized in the same period of internal medicine, found that the incidence of male and female No difference. Various reports at home and abroad agree that women rarely suffer from this disease, this article can not confirm this point. 2. Pregnancy-induced disease one of the factors. Infectious disease of acute onset of pregnant women, anemia and low plasma protein, and easy to premature delivery. 3. In the past and before and after the onset of diarrhea or dysentery accounted for 72%. 4. Clinical manifestations to fever, liver pain, loss of appetite, hepatomegaly and tenderness, anemia and leukocyte-based. X-ray common right diaphragm elevation and exercise weakened. 5. Liver function test abnormalities accounted for 72.4%. 6. Found amoeba from the fecal accounted for 30.8%, 19.7% of cases found amoeba in the pus. 7. This article has 31.3% of patients with perforation complications, to wear to the chest cavity is the most common, followed by the abdominal cavity and abdominal wall, the occurrence of poor prognosis after perforation. 8. The overall case fatality rate was 9.3%, the medical treatment mortality was 7.6%, and the surgical treatment was 14.2%.