摘要
本文报告１９８５年以来用经皮引流和抗菌药物为主治疗２４８例肝脓肿的经验。９５．２％的病例经Ｂ超检查确诊。有明确脓腔的脓肿行经皮置管引流或穿刺吸脓共１０５例；未液化的８９例脓肿，给以抗菌药物及支持治疗；手术治疗５４例，为肝脓肿破溃腹膜炎，或胆源性肝脓肿需急诊处理胆道病变，或经皮引流不畅中转手术。作者认为，由于Ｂ超用于诊断和鉴别以及新一代抗生素的应用，肝脓肿的预后已大为改善。本组死亡率为１．６％。经皮引流更可作为肝脓肿的首选治疗方法。
Two hundred and fourly eight cases of pyogenic liver absess treated principally by percutaneous drainage and antibiotics since 1985 were presented.B-made ultrasonography was the main means for diagnosis in 95.2% of cases.Abscesses with definite caviataion found in 105 cases were drained by percutaneous catheterization or simple syringe aspiration.In 89 cases,the abscess not yet well formed shown by sonography was treated by antibiotics and general support.54 patients were operated upon in case of abscess rupture or of biliary origin or when it was not well drained by the percutaneous approach.The total motatity rate in this serieswas 1.6%.The authors believe that the pecutaneous catheter drainge may be the method of choice in treatment of pyogenic liver abscess.
出处
《肝胆外科杂志》
1996年第1期40-42,共3页
Journal of Hepatobiliary Surgery
关键词
肝脓肿
引流
抗生素
药物疗法
Pyogenic Liver abscess Percutaneous drainage Antibiotic
