糖尿病合并细菌性肝脓肿11例临床分析  

Clinical analysis of 11 cases of diabetes mellitus with bacteriogenic liver abscesses

作　　者：袁晟光[1] 刘漪[1] 唐建华[1] 刘杰[1] 杨景红[1] 吕军[1] 梅铭慧[1] 

机构地区：[1]桂林医学院附院肝胆外科老年科超声科,广西桂林541001

出　　处：《四川医学》2010年第2期201-202,共2页Sichuan Medical Journal

摘　　要：目的总结糖尿病合并肝脓肿的诊治经验。方法回顾性分析11例糖尿病合并肝脓肿患者的临床资料。结果中老年男性糖尿病患者是细菌性肝脓肿的高发人群,寒战高热是其主要临床表现,绝大多数患者的血常规检查为感染表现。影像学诊断应首选B超检查,大部分细菌性肝脓肿可在B超引导下经皮肝脓肿穿刺置管引流而治愈。结论糖尿病患者并发肝脓肿近来有增多的趋势,临床表现不典型,提高认识,早期诊断、治疗是关键。Objective To explore the experience of diagnosis and therapy about diabetes mellitus （DM） with bacteriogenie liver abscesses. Methods We retrospectively analyzed the clinic data of 11 diabetes mellitus cases with liver abscesses. Results It is often occurred in middle-age and old-age male adults, fever and chill were the main clinic features. The results of routine blood count in most patients suggested infection. Abdominal B-uhrasonography was the first selected method in the diagnosis. The most of patients can be cured by aspirations or drainage lead by B-uhrasonography. Conclusion The incidence rate of DM with bacteriogenic liver abscesses increased in recent years. Clinical features are atypical. Early diagnosis and treatment are the key point to improve the therapeutic effect for DM with bacteriogenic liver abscesses.

关 键 词：细菌性肝脓肿 糖尿病 治疗 

分 类 号：R587.1[医药卫生—内分泌] R657.33[医药卫生—内科学]