Mirpuri-Mirpuri P G, Álvarez-Cordovés M M, Pérez-Monje A
Medicina de Familia y Comunitaria, Centro de Salud Doctor Guigou, Tenerife, Islas Canarias, España.
Semergen. 2013 May-Jun;39(4):236-9. doi: 10.1016/j.semerg.2012.02.014. Epub 2012 Jun 7.
The subphrenic space is defined as the area below the diaphragm and above the transverse colon. Most abscesses are due to direct subphrenic contamination associated with, surgery, local disease, or trauma, but the cause still remain undefined or unknown. It is a disease rarely diagnosed in primary care. About 55% of subphrenic abscesses are located on the right side, with 25% on the left, and 20% are multiple. These can be extended to the thoracic cavity, which sometimes produce empyema, lung abscess, or pneumonia. The mortality of subphrenic abscess is between 11%-31%, and may be due to uncontrolled infection, malnutrition, and complications of prolonged hospitalization, such as nosocomial infections. Ultrasound or computed tomography-guided percutaneous drainage is now the preferred treatment, combined with antibiotics.
膈下间隙被定义为膈肌下方和横结肠上方的区域。大多数脓肿是由于与手术、局部疾病或创伤相关的直接膈下污染引起的，但病因仍不明确或未知。这是一种在初级保健中很少被诊断出的疾病。约55%的膈下脓肿位于右侧，25%位于左侧，20%为多发。这些脓肿可蔓延至胸腔，有时会导致脓胸、肺脓肿或肺炎。膈下脓肿的死亡率在11%至31%之间，可能是由于感染控制不佳、营养不良以及长期住院的并发症，如医院感染。超声或计算机断层扫描引导下的经皮引流现在是首选治疗方法，并联合使用抗生素。
