Sharma M P, Acharya S K, Verma N, Dasarathy S
Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi.
J Assoc Physicians India. 1990 Nov;38(11):837-9.
Of 70 consecutive patients with amoebic liver abscess admitted over a 3 year period, 15 (21.4%) had multiple abscesses. This condition, like solitary abscess, was a disease of the 2nd to 5th decade with a male preponderance. Multiple abscesses were more frequently associated with fever, jaundice, upper abdominal pain, pneumonitis and tender hepatomegaly. The left lobe of the liver was always enlarged in patients with multiple abscesses and 86% of patients required drainage of an abscess cavity. The presence of more severe clinical course, jaundice and left lobe hepatomegaly should raise the suspicion of multiple abscesses. After confirmation of the diagnosis by imaging technique, the abscess cavity should be aspirated for quick relief and cure.
在3年期间收治的70例连续的阿米巴肝脓肿患者中，15例（21.4%）有多个脓肿。这种情况与单个脓肿一样，是一种好发于20至50岁、男性居多的疾病。多个脓肿更常伴有发热、黄疸、上腹部疼痛、肺炎和肝肿大压痛。有多个脓肿的患者肝脏左叶总是肿大，86%的患者需要引流脓肿腔。临床病程更严重、出现黄疸和肝脏左叶肿大应引起对多个脓肿的怀疑。通过影像学技术确诊后，应抽吸脓肿腔以迅速缓解症状并治愈疾病。
