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目的:分析肝脓肿的病因和细菌学,探讨其临床特点、诊断以及治疗措施。方法:回顾分析我院1986年至2001年15年间收治的412例肝脓肿的临床资料。根据病原菌的种类、脓腔的大小、分布以技数量的不同,采用不同的治疗措施,包括单纯药物治疗、穿刺置管+冲洗和手术治疗等。结果:单纯药物治疗79例,穿刺置管+冲洗153例,手术治疗180例。无1例死亡,治愈率1OO%。结论:肝脓肿的治疗根据病原菌的种炎,脓腔的大小、分布以及数量的小同,采用不同的治疗措施,可获得较好的治疗效果。
Objective: To analyze the etiology and bacteriology of liver abscess and to discuss its clinical features, diagnosis and treatment measures. Methods: A retrospective analysis of our hospital from 1986 to 2001 15 years admitted to the clinical data of 412 cases of liver abscess. According to the type of pathogenic bacteria, the size and distribution of abscess cavity are varied according to the amount of technique used, and different treatment measures are adopted, including simple drug treatment, puncture and catheterization, and surgical treatment. Results: Simple drug treatment in 79 cases, puncture catheter + irrigation in 153 cases, 180 cases of surgical treatment. No one died, the cure rate 100%. Conclusion: The treatment of liver abscess according to the pathogen bacteria inflammation, abscess size, distribution and the number of small with different treatment measures, can obtain better therapeutic effect.