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回顾性分析糖尿病并发细菌性肝脓肿(DPHA)患者25例,并与31例非糖尿病并发细菌性肝脓肿(NDPHA)对比。两组均以发热最为常见,其次为畏寒、寒战、腹痛等,DPHA组与NDPHA组比较,右上腹痛、肝肿大发生率有显著差异;B超检查确诊率达80%以上,CT确诊率达100%,两组无差异;实验室检查中两组均有血白细胞增高、肝功能异常(以ALP升高比例最高),但贫血发生率DPHA组高于NDPHA组,脓液培养阳性病例中肺炎克雷伯菌所占比例DPHA组显著高于NDPHA组;两组均应用广谱抗生素联合灭滴灵治疗,部分患者还采用经皮肝穿刺抽脓治疗,DPHA组治愈率显著低于NDPHA组。提示糖尿病并发细菌性肝脓肿症状较不显著,治疗效果及预后较差。
A total of 25 patients with diabetic patients with bacterial liver abscess (DPHA) were retrospectively analyzed and compared with 31 non-diabetic patients with bacterial liver abscess (NDPHA). Both groups were the most common fever, followed by chills, chills, abdominal pain, DPHA group and NDPHA group, right upper quadrant pain, hepatomegaly were significantly different; B-ultrasound diagnosis rate of 80% or more, CT diagnosis rate Up to 100%, there was no difference between the two groups; in the laboratory examination, both groups had increased leukocytosis and abnormal liver function (the highest proportion of ALP increased), but the incidence of anemia was higher in DPHA group than in NDPHA group The proportion of Klebsiella pneumoniae in DPHA group was significantly higher than that in NDPHA group. Both groups were treated with broad-spectrum antibiotics combined with metronidazole. Some patients also treated with percutaneous transhepatic pus pus. The cure rate in DPHA group was significantly lower than that in NDPHA group . Tip of diabetic complications of bacterial liver abscess less significant, the treatment effect and prognosis is poor.