细菌性肝脓肿的中西医结合诊断与治疗  

Diagnosis and Treatment of Bacterial Liver Abscess by Integrated Traditional Chinese and Western Medicine

作　　者：殷宗福[1] 何清宇[1] 刘亮[1] 高凤印[1] 

机构地区：[1]天津市南开医院,天津300100

出　　处：《中国中西医结合外科杂志》2002年第3期139-141,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的 :总结细菌性肝脓肿的诊治经验。方法 :回顾性分析 1994年～ 2 0 0 1年我院收治的 48例细菌性肝脓肿临床诊断与治疗的有关资料。服用中药及抗生素 9例 (18 7% ) ,穿刺引流服用中药 15例 (31 3% ) ,穿刺置管引流 19例 (39 5 % ) ,手术引流 5例 (10 4% )。结果 :75 %的病例来自胆道感染 ,47 9%的病例患有糖尿病。寒战发热、肝区疼痛及白细胞增高是本病的主要临床表现 ,全部病例治愈。结论 :治疗细菌性肝脓肿需根据分期及部位而选择不同的治疗方法。Objective:To summarize the experience of diagosis and treatment in bacterial liver abscess Methods:Forty-eight cases of bacterial liver abscess were studied retrospectively from 1994 to 2001;of them 9 cases(18.7%)were administered Chinese herbs and antibiotics,15 cases(31.3%)treated by puncture and drainage with Chinese herbs being used at the same time,19 cases(39.5%) were only puctured and drained,5 cases(10.4%) were drained by surgical operation.In the series,36 cases(75%)resulted from infection of the biliary tract,20 cases(47.9%) were accompanied with diabetes mellitus and fever,right upper abdominal pain and leukocytosis were the main symptoms.Results:All cases were cured.Conclution:Liver abscesses should be treated according to the stage and location of the focus.

关 键 词：细菌性肝脓肿 中西医结合 诊断 治疗 

分 类 号：R575.4[医药卫生—消化系统]