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目的探讨糖尿病合并肝脓肿患者的临床特点和治疗效果。方法回顾性分析2002年5月至2010年9月商城县人民医院收治糖尿病合并肝脓肿22例患者的临床资料。结果22例均为2型糖尿病患者,均使用抗生素治疗,其中6例穿刺引流,1例手术切开引流;治愈6例,显效7例,有效7例,无效2例,总有效率90.9%。结论糖尿病合并肝脓肿患者病情较重,临床表现复杂,易漏、误诊,早期应用胰岛素、早期足量应用抗生素、个体化处理脓腔,能提高疗效,改善患者预后。
Objective To investigate the clinical features and therapeutic effects of diabetic patients with liver abscess. Methods The clinical data of 22 patients with diabetes mellitus and liver abscess treated in Shangcheng County People’s Hospital from May 2002 to September 2010 were retrospectively analyzed. Results All the 22 cases were type 2 diabetic patients. All of them were treated with antibiotics. Among them, 6 cases were treated by puncture and drainage and 1 case by surgical incision and drainage. Six cases were cured, 7 cases were markedly effective, 7 cases were effective and 2 cases were ineffective. The total effective rate was 90.9%. Conclusions Patients with diabetes mellitus and liver abscess have severe disease, complicated clinical manifestations, easy to leak and misdiagnosis, early application of insulin, sufficient early use of antibiotics and individual treatment of abscess to improve the curative effect and prognosis.