细菌性肝脓肿123例临床分析

俞泽元; 赵荣荣; 焦作义

doi:10.3969/j.issn.1001-5256.2014.08.024

细菌性肝脓肿123例临床分析

DOI: 10.3969/j.issn.1001-5256.2014.08.024

1. 兰州大学第二附属医院普外一科
2. 兰州大学第一附属医院感染科

详细信息

中图分类号: R575.4
计量
- 文章访问数: 1689
- HTML全文浏览量: 8
- PDF下载量: 579
- 被引次数: 0
出版历程
- 出版日期: 2014-08-20

Bacterial liver abscess:a clinical analysis of 123 cases

First Department of General Surgery, Lanzhou University Second Hospital

摘要

摘要: <正>细菌性肝脓肿是消化系统严重且常见的感染性疾病之一。近年来,随着影像学技术、腹腔镜手术的不断发展,以及高效抗生素的出现,细菌性肝脓肿的治疗方法也发生了很大变化[1],绝大多数患者根据不同病因采用个体化综合治疗方案即可达到痊愈。现将兰州大学第二医院2010年9月至2013年9月收治的123例肝脓肿患者的诊断、诱因、伴随疾病、临床特征以及治疗等方面作一分析,以期进一步加深对肝脓肿的诊疗认识。
- 肝脓肿 /
- 细菌感染 /
- 引流术 /
- 腹腔镜检查
- liver abscess /
- baeterial infections /
- drainage /
- laparoscopy

HTML全文

参考文献(15)

[1]FERRAIOLI G, GARLASCHELLI A, ZANABONI D, et al.Percutaneous and surgical treatment of pyogenic liver abscesses:observation over a 21-year period in 148 patients[J].Dig Liver Dis, 2008, 40 (8) :690-696.

[2]ZEREM E, SUSIC A.Multiple pyogenic liver abscesses formed after appendectomy:the role of percutaneous drainage in a critically ill patient[J].Acta Med Acad, 2012, 41 (2) :210-213.

[3]CHUNG YF, TAN YM, LUI HF, et al.Management of pyogenic liver abscesses-percutaneous or open drainage?[J].Singapore Med J, 2007, 48 (12) :1158-1165, 1165.

[4]JIA JF, CHEN P.Clinical analysis of three different operative methods in the treatment of bacterial liver abscess[J].China Med Herald, 2012, 9 (3) :35-36. (in Chinese) 贾继峰, 陈鹏.三种不同手术方法治疗细菌性肝脓肿的临床疗效分析[J].中国医药导报, 2012, 9 (3) :35-36.

[5]BAMBERGER DM.Outcome of medical treatment of bacterial abscesses without therapeutic drainage:review of cases reported in the literature[J].Clin Infect Dis, 1996, 23 (3) :592-603.

[6]ROMANO G, AGRUSA A, FRAZZETTA G, et al.Laparoscopic drainage of liver abscess:case report and literature review[J].G Chir, 2013, 34 (5-6) :180-182.

[7]GIORGIO A, de STEFANO G, Di SARNO A, et al.Percutaneous needle aspiration of multiple pyogenic abscesses of the liver:13-year single-center experience[J].AJR Am J Roentgenol, 2006, 187 (6) :1585-1590.

[8]RENDON UP, MACIAS RM, CORRERO AF, et al.Hepatic abscesses:is simple aspiration puncture with echography control an alternative to catheter drainage?[J].Gastroenterol Hepatol, 2000, 23 (10) :470-473.

[9]PAN F, XIONG RH, PAN C, et al.Analysis on the diagnosis and treatment of 110 cases with bacterial liver abscess[J/CD].Chin J Exp Clin Infect Dis:Electronic Edition, 2013, 7 (1) :56-59. (in Chinese) 潘凡, 熊日晖, 潘晨, 等.110例细菌性肝脓肿的诊断和治疗分析[J/CD].中华实验和临床感染病杂志:电子版, 2013, 7 (1) :56-59.

[10]ALVAREZ PJ, GONZALEZ JJ, BALDONEDO RF, et al.Clinical course, treatment, and multivariate analysis of risk factors for pyogenic liver abscess[J].Am J Surg, 2001, 181 (2) :177-186.

[11]BI WJ, FAN ZP.Clinical analysis of liver abscesses[J].Chin J Dig, 2008, 28 (2) :88-90. (in Chinese) 毕文俊, 范竹萍.肝脓肿的临床分析[J].中华消化杂志, 2008, 28 (2) :88-90.

[12]PASTAGIA M, ARUMUGAM V.Klebsiella pneumoniae liver abscesses in a public hospital in Queens, New York[J].Travel Med Infect Dis, 2008, 6 (4) :228-233.

[13]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.

[14]LEE NK, KIM S, LEE JW, et al.CT differentiation of pyogenic liver abscesses caused by Klebsiella pneumoniae vs non-Klebsiella pneumoniae[J].Br J Radiol, 2011, 84 (1002) :518-525.

[15]WANG QY.Chinese and Westem Medicine cure cholecystitis merger pyogenic liver abscess[J].J Changchun Univ Tradit Chin Med, 2013, 29 (5) :854-855. (in Chinese) 王清月.中西医结合治愈胆囊炎合并细菌性肝脓肿[J].长春中医药大学学报, 2013, 29 (5) :854-855.

施引文献

资源附件(0)

访问统计