据近年来的报道,化脓性肝脓肿的临床表现更为复杂,胆道疾病已取代了阑尾炎作为肝脓肿最常见的前因疾病。最近一些资料还表明,本病死亡率仍高达40～80％。本文总结了自1954年以来有关本病的报道资料,共收集1,085例。因采用较新诊断技术,已能做到早期诊断和提高生存率;对感染的细菌菌谱的变化,特别是对厌氧菌感染的重要性和它的培养技术的改进亦有了明确认识。发病率和病因自1900年以来所发表的尸检报告提示肝脓肿的发病率变化不大。1901年Kobler在17,204例尸检 According to reports in recent years, the clinical manifestations of pyogenic liver abscess is more complicated, and biliary tract diseases have replaced appendicitis as the most common cause of liver abscess. Some recent data also show that the mortality rate of this disease is still as high as 40 to 80%. This article summarizes information on the disease since 1954, collecting a total of 1,085 cases. Because of the use of newer diagnostic techniques, early diagnosis and improved survival rate have been achieved. There is also a clear understanding of the changes in the bacterial spectrum of infection, especially the importance of anaerobic infections and its culture technology. Morbidity and etiology Autopsy reports published since 1900 suggest little change in the incidence of liver abscesses. In 1901 Kobler autopsied in 17,204 cases