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对2013年9月~2016年9月在本院接受治疗的80例2型糖尿病并发肝脓肿患者的临床资料进行回顾性分析。结果:老年人为高发群体;多因胆管感染或肺部感染导致;临床表征无明显特点,均为发热、畏寒、恶心、乏力等症状,肝区疼痛者不到50%;右叶肝脓肿远远多于左叶。34例(42.5%)患者治愈出院,43例(53.75%)患者出现好转;3例(3.75%)患者因治疗无效死亡,平均住院时间(26.2±3.1)d。结论:2型糖尿病合并肝脓肿临床表征不明显极易出现漏诊、误诊,应通过影像学检查进行确诊;临床以控制血糖和处理脓肿、抗感染为主要治疗方法。
The clinical data of 80 patients with type 2 diabetes mellitus complicated with liver abscess treated in our hospital from September 2013 to September 2016 were analyzed retrospectively. Results: The elderly were high incidence group; mostly due to bile duct infection or pulmonary infection; no obvious clinical manifestations, are fever, chills, nausea, fatigue and other symptoms, liver pain less than 50%; right lobe liver abscess far Far more than the left leaf. Forty-three patients (42.5%) were cured and discharged, and 43 (53.75%) patients were cured. Three patients (3.75%) died of treatment ineffectiveness and the average length of stay was (26.2 ± 3.1) d. Conclusions: The clinical manifestations of type 2 diabetes mellitus complicated with liver abscess are not obvious and may be missed or misdiagnosed. Imaging diagnosis should be used to diagnose type 2 diabetes mellitus. Clinic should take blood glucose control and abscess treatment as the main treatment.