Dimitriu S M, Ulianov M, Baran T, Stanciu C, Burlea M, Hurmuzache T, Mihalache D, Turcu T, Rusu M, Scurtu C
Rev Med Chir Soc Med Nat Iasi. 1989 Apr-Jun;93(2):261-7.
Eight cases (3 children aged 7-15 years and 5 adults aged 16-46 years) of hepatic abscess in whom a cure was obtained by medical therapy are presented. The abscess occurred during septicemia (2 cases), cutaneous staphylococcosis (2 cases) and pyocholecystitis (1 case). In 3 patients the abscess remained cryptogenic. The clinical diagnosis was confirmed by scintigraphy, ultrasonography and in one case by radiography with contrast substance in the abscess. The microorganisms, isolated in 3 patients from the abscess and in one patient from hemoculture, were S. aureus (3 cases) and gram negative bacilli (1 case). The systemic antibiotic therapy consisted in the administration of gentamicin and oxacillin or rifampicin in 4 cases and gentamicin and chloramphenicol or ampicillin and metronidazole in other 4 cases for an average interval of 39 days. The associated local therapy (3 cases) consisted in one or more punctures, followed by the injection of gentamicin.
本文报告了8例肝脓肿患者（3例7 - 15岁儿童，5例16 - 46岁成人），这些患者通过药物治疗得以治愈。脓肿发生于败血症（2例）、皮肤葡萄球菌感染（2例）和化脓性胆囊炎（1例）期间。3例患者的脓肿病因不明。临床诊断通过闪烁扫描、超声检查得以证实，1例患者通过向脓肿内注入造影剂的X线摄影得以证实。从3例患者的脓肿以及1例患者的血培养中分离出的微生物为金黄色葡萄球菌（3例）和革兰氏阴性杆菌（1例）。全身抗生素治疗中，4例患者使用庆大霉素和苯唑西林或利福平，另外4例患者使用庆大霉素和氯霉素或氨苄西林和甲硝唑，平均疗程为39天。相关的局部治疗（3例）包括一次或多次穿刺，随后注入庆大霉素。
