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[化脓性肝脓肿的治疗结果]

[Results of treatment of pyogenic liver abscesses].

作者信息

Sperling P, Wolff H, Lüning M, Lorf T, Naundorf M

出版信息

Zentralbl Chir. 1987;112(9):548-57.

PMID:2441544
Abstract

In the last 7 years 53 patients with liver abscesses were treated at surgical clinic of Charité. Since November 1982 we treated in 27 cases with solitary and multiloculary liver abscesses by percutaneous drainage of the abscess diameter more than 3 to 4 cm. 12 patients with multiloculary small biliary liver abscesses were treated by antibiotics. The bacteriological examination were performed after CT-supported puncture of the abscess. Seven patients with complicated abscesses could not be healed with CT-drainage. Surgical drainage via laparotomy was necessary. The diagnostic clarification of the dignity is important in every case. The lethality of all treated liver abscesses was 5.6% and the causes of death were the existing basic diseases.

摘要

在过去7年中,53例肝脓肿患者在夏里特外科诊所接受了治疗。自1982年11月以来,我们对27例单发和多房性肝脓肿患者进行了经皮引流治疗,脓肿直径超过3至4厘米。12例多房性小胆管肝脓肿患者采用抗生素治疗。在CT引导下对脓肿进行穿刺后进行细菌学检查。7例复杂性脓肿患者经CT引流无法治愈,需要通过剖腹手术进行外科引流。在每种情况下,明确诊断的性质都很重要。所有接受治疗的肝脓肿患者的死亡率为5.6%,死亡原因是存在的基础疾病。

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