产气性化脓性肝脓肿1例报告

蔡译苇; 肖欣; 李静; 刘会娜; 刘君; 吴广利

doi:10.3969/j.issn.1001-5256.2019.06.035

产气性化脓性肝脓肿1例报告

DOI: 10.3969/j.issn.1001-5256.2019.06.035

详细信息

中图分类号: R575.4
计量
- 文章访问数: 1475
- HTML全文浏览量: 36
- PDF下载量: 266
- 被引次数: 0
出版历程
- 出版日期: 2019-06-20

Gas-forming pyogenic liver abscess: A case report

摘要

摘要:
<正>气性化脓性肝脓肿（gas-forming pyogenic liver abscess,GFPLA）占化脓性肝脓肿（pyogenic liver abscess,PLA）的7%～24%[1]。GFPLA通常与潜在的糖尿病有关。肺炎克雷伯菌是GFPLA血培养及肝穿刺最常见的致病细菌。GFPLA经常并发脓毒症和脓毒性休克,且病死率高达27. 7%～37. 1%[1],因此及时诊治至关重要。然而,由于缺乏特征性症状及体征,临床上易误诊误治。现将1例GFPLA继发脓毒性休克患者报道如下。
- 肝脓肿,化脓性 /
- 糖尿病 /
- 肺炎克雷伯菌 /
- 休克,脓毒性 /
- 病例报告
- liver abscess, pyogenic /
- diabetes mellitus /
- Klebsiella pneumoniae /
- shock, septic /
- case reports

HTML全文

参考文献(12)

[1]LEE HL, LEE HC, GUO HR, et al.Clinical significance and mechanism of gas formation of pyogenic liver abscess due to Klebsiella pneumoniae[J].J Clin Microbiol, 2004, 42 (6) :2783-2785.

[2]CHEN SC, TSAI SJ, CHEN CH, et al.Predictors of mortality in patients with pyogenic liver abscess[J].Neth J Med, 2008, 66 (5) :196-203.

[3]SMITH RS.Pyogenic liver abscess in the aged[J].Am J Surg, 1944, 63:206-213.

[4]CHOU FF, SHEENH-CHEN SM, CHEN YS.The comparison of clinical course and results of treatment between gas-forming and non-gas-forming pyogenic liver abscess[J].Arch Surg, 1995, 130 (4) :401-405.

[5]LEE TY, WAN YL.Gas-containing liver abscess:Radiological findings and clinical significance[J].Abdom Imaging, 1994, 19 (1) :47-52.

[6]YANG CC, CHEN CY, LIN XZ, et al.Pyogenic liver abscess in Taiwan:Emphasis on gas-forming liver abscess in diabetics[J].Am J Gastroenterol, 1993, 88 (11) :1911-1915.

[7]HO MP, CHOU AH, CHEUNG WK, et al.Gas-forming pyogenic liver abscess in an elderly adult with diabetes mellitus[J].Am Geriatr Soc, 2013, 61 (5) :837-838.

[8]EITAWANSY SA, MERCHANT C, ATLURI P, et al.Multi-organ failure secondary to a clostridium perfringens gaseous liver abscess following a self-limited episode of acute gastroenteritis[J].Am J Case Rep, 2015, 16:182-186.

[9]RYAN KJ, RAY CG.Sherris medical microbiology[M].4th ed, McGraw Hill, 2004.

[10]ZHANG Y, ZANG GQ, TANG ZH.Fatal gas-forming pyogenic liver abscess due to Klebsiella pneumoniae[J].Rev Inst Med Trop Sao Paulo, 2013, 55 (2) :144.

[11]LI J, FU Y, WANG JY, et al.Early diagnosis and therapeutic choice of Klebsiella pneumoniae liver abscess[J].Front Med China, 2010, 4 (3) :308-316.