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我院自1960至1985年,共收住阿米巴肝脓肿90例。结合复习文献进行回顾性对比分析,对治疗加以探讨。诊断标准本组病例,皆符合下列两项诊断标准:(1)临床上有发热、上腹痛、肝肿大及超声波检查肝区有液平段或X线发现右侧膈肌抬高者。(2)肝穿抽出典型巧克力样脓液或脓液中找到溶组织阿米巴滋养体,且经抗阿米巴治疗有显著疗效者。治疗分组根据治疗情况,分为:①氯喹组:25例(27.8%),第1、2日,1g/日,第三日开始,
Our hospital from 1960 to 1985, received a total of 90 cases of amoebic liver abscess. Retrospective review combined with literature review, treatment to be explored. Diagnostic criteria The group of patients, are in line with the following two diagnostic criteria: (1) clinically fever, abdominal pain, hepatomegaly and ultrasound examination of the liver area of the flat segment or X-ray found on the right diaphragm elevation. (2) Liver wear out of the typical chocolate-like pus or pus to find dissolved tissue amebic trophozoites, and anti-amoebic treatment had a significant effect. Treatment group according to the treatment, divided into: ① chloroquine group: 25 cases (27.8%), 1, 2, 1g / day, the third day,