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近4年间,我们采用经皮肝穿刺置管引流治疗肝脓肿23例,现报告如下。 1 临床资料 23例中,男18例,女5例;年龄最小19岁,最大55岁。肝右叶19例,左叶4例,均为单发性脓肿;细菌性19例,阿米巴4例。脓腔直径最大11.5cm,最小4.5cm;脓腔距体表最深7.0cm,最浅2.5cm。发病至就诊时间最长14天。经B超确诊21例,CT确诊2例。 2 治疗方法 本组病例于置管前均在B超或A超下定点定向、消毒铺巾局麻后,试行穿刺脓腔,抽得脓液后,穿刺针暂不拔出,切开皮肤1.0cm,再置换有侧臂套管针穿刺,
Nearly 4 years, we use percutaneous catheter drainage of liver abscess in 23 cases, are as follows. 1 Clinical data 23 cases, 18 males and 5 females; the youngest 19 years old, maximum 55 years old. 19 cases of right lobe and 4 cases of left lobe were all single abscesses; 19 cases were bacterial and 4 cases were amoebic. Abscess diameter 11.5cm, the smallest 4.5cm; pus cavity from the surface of the deepest 7.0cm, the most shallow 2.5cm. The onset of treatment up to 14 days. 21 cases were confirmed by B ultrasound and 2 cases were diagnosed by CT. 2 treatment in this group of patients before catheterization in the B or A ultra-targeted under the disinfection of anesthesia shop towel anesthesia, the trial puncture abscess, pus pumped, the needle is not pulled out, cut the skin 1.0 cm, then replaced with a lateral arm trocar puncture,