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目的:总结细菌性肝脓肿的临床特征、诊断及治疗方法。方法:回顾性分析80例细菌性肝脓肿患者的临床资料。结果:80例患者临床表现以发热为主,多伴有外周血白细胞升高;糖尿病及胆管疾病为主要发病因素;B超检查确诊率72.5%;肺炎克雷伯菌是主要致病菌;超声引导下经皮肝脓肿穿刺安全、有效,可作为细菌性肝脓肿首选治疗方法。结论:糖尿病患者易患细菌性肝脓肿,肺炎克雷伯菌为主要致病菌。
Objective: To summarize the clinical features, diagnosis and treatment of bacterial liver abscess. Methods: The clinical data of 80 patients with bacterial liver abscess were analyzed retrospectively. Results: The clinical manifestations of 80 patients were mainly fever, accompanied by increased peripheral leukocytes; diabetes and biliary diseases as the main risk factors; B-ultrasound diagnosis rate of 72.5%; Klebsiella pneumoniae is the main pathogenic bacteria; ultrasound Guided percutaneous transhepatic abscess puncture safe and effective, can be used as the preferred treatment of bacterial liver abscess. Conclusion: Diabetic patients are susceptible to bacterial liver abscess and Klebsiella pneumoniae are the main pathogens.