Thamlikitkul V, Yamwong P
Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1990 May;73(5):264-8.
The medical records of 222 patients with liver abscess at Siriraj Hospital from 1978 to 1985 were analysed. Amoebic abscess was three times more prevalent than pyogenic abscess. In both groups middle aged males were affected more often than others. The main clinical manifestations were fever, right upper quadrant pain and hepatomegaly. History of colitis in the past, marked leukocytosis, elevation of alkaline phosphatase and a single abscess confined to the right lobe were suggestive of amoebic liver abscess. The presence of concurrent abdominal infection, marked anemia and jaundice were associated with pyogenic abscess. Patients with pyogenic abscess developed complications more often and the case fatality rate was greater than patients with amoebic abscess. Most of the patients were successfully treated with a combination of antimicrobials and drainage.
对1978年至1985年期间诗里拉吉医院收治的222例肝脓肿患者的病历进行了分析。阿米巴脓肿的发病率是化脓性脓肿的三倍。在这两组中，中年男性比其他人群更易患病。主要临床表现为发热、右上腹疼痛和肝肿大。既往有结肠炎病史、明显的白细胞增多、碱性磷酸酶升高以及单个脓肿局限于右叶提示为阿米巴肝脓肿。并发腹部感染、明显贫血和黄疸与化脓性脓肿有关。化脓性脓肿患者发生并发症的频率更高，病死率也高于阿米巴脓肿患者。大多数患者通过抗菌药物和引流相结合的方法得到了成功治疗。
