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[1例产气荚膜梭菌致脓毒症合并产气性肝脓肿患者采用持续灌注引流治疗]

[A patient with sepsis and a gas-forming liver abscess caused by Clostridium perfringens treated with continuous perfusion drainage].

作者信息

Kusumoto Kiyonori, Hamada Akihiko, Kusaka Toshihiro, Yamaguchi Daisuke, Yoshioka Takuto, Nakai Yoshitaka, Matsubara Susumu, Azechi Hidemasa, Fujii Shigehiko, Kokuryu Hiroyuki

机构信息

Digestive Disease Center, Department of Gastroenterology, Kyoto Katsura Hospital.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 2014 Jul;111(7):1416-23.

Abstract

A 64-year-old man presented with diarrhea, fever, and disturbance of consciousness; he was subsequently diagnosed with acute renal and hepatic disorder. Abdominal computed tomography identified a gas-forming liver abscess, and the patient underwent emergency drainage. However, his condition did not improve, and Clostridium perfringens was observed in his blood culture. Continuous perfusion drainage was performed by placing an additional drainage tube, which resulted in abscess shrinkage and improved the patient's general condition. Despite the low survival rate in patients with gas-forming liver abscesses caused by C. perfringens, therapy was successful in this patient.

摘要

一名64岁男性出现腹泻、发热及意识障碍;随后被诊断为急性肾肝疾病。腹部计算机断层扫描发现一个产气肝脓肿,患者接受了紧急引流。然而,他的病情并未改善,血培养中发现了产气荚膜梭菌。通过额外放置一根引流管进行持续灌注引流,这使得脓肿缩小并改善了患者的总体状况。尽管由产气荚膜梭菌引起的产气肝脓肿患者生存率较低,但该患者的治疗取得了成功。

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