Halliday P, Halliday J H
Br J Surg. 1976 May;63(5):352-66. doi: 10.1002/bjs.1800630507.
A series of 241 patients with subphrenic abscess was analysed to seek reasons for the continuing mortality. Aspects of pathology, clinical presentation, special investigations and management were affected by therapy with broad spectrum antibiotics to make diagnosis more difficult, particularly in relation to left subphrenic abscesses. When transperitoneal exploration and drainage were employed, high morbidity and mortality resulted. Satisfactory results followed extraserous drainage. The introduction of parenteral hyperalimentation promised control fistulas associated with abscesses, a situation hitherto associated with a poor prognosis.
对241例膈下脓肿患者进行了系列分析，以探寻死亡率居高不下的原因。病理学、临床表现、特殊检查及治疗等方面均受到广谱抗生素治疗的影响，导致诊断更加困难，尤其是对于左膈下脓肿。采用经腹探查和引流时，发病率和死亡率都很高。浆膜外引流取得了满意的效果。胃肠外高营养的引入有望控制与脓肿相关的瘘管，而在此之前，这种情况预后很差。
