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影响腹腔内脓肿治疗的因素。

Factors influencing the treatment of intra-abdominal abscesses.

作者信息

Malangoni M A, Shumate C R, Thomas H A, Richardson J D

机构信息

Department of Surgery, University of Louisville School of Medicine, Kentucky 40292.

出版信息

Am J Surg. 1990 Jan;159(1):167-71. doi: 10.1016/s0002-9610(05)80623-3.

Abstract

Forty-eight consecutive patients with 68 intra-abdominal abscesses who had operative or radiologic attempts at drainage were analyzed. Patients who had radiologic drainage were older and had simple abscesses more often. Simple abscesses were treated successfully in a high percentage of patients using both operation and radiologic drainage. Mortality was higher for patients with complex abscesses, and most of these patients required operative treatment. Successful abscess resolution was eventually achieved in 79 percent of patients.

摘要

对48例连续的患有68个腹腔内脓肿且接受过手术或放射引导下引流尝试的患者进行了分析。接受放射引导下引流的患者年龄较大,且更常患有单纯性脓肿。使用手术和放射引导下引流,大多数患者的单纯性脓肿得到了成功治疗。复杂性脓肿患者的死亡率更高,且这些患者大多需要手术治疗。最终,79%的患者脓肿得到成功消退。

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