由阿米巴肝脓肿破裂引起的阿米巴性腹膜炎的管理：是时候进行范式转变了。
Management of amoebic peritonitis due to ruptured amoebic liver abscess: It's time for a paradigm shift.
作者信息
Kumar Ramesh, Anand Utpal, Priyadarshi Rajeev N, Mohan Shantam, Parasar Kunal
机构信息
Department of Gastroenterology All India Institute of Medical Sciences Patna India.
Department of Surgical Gastroenterology All India Institute of Medical Sciences Patna India.
出版信息
JGH Open. 2019 Feb 8;3(3):268-269. doi: 10.1002/jgh3.12144. eCollection 2019 Jun.
Amoebic peritonitis secondary to rupture of amoebic liver abscess (ALA) has been reported to occur in 2.4 to 13% of cases with a high fatality rate. There is still no consensus as to how a ruptured ALA associated with diffuse amoebic peritonitis be optimally managed. The mortality rates following surgical therapy in patients with ruptured ALA freely into the peritoneum have ranged from 20%- to 50%. The introduction of percutaneous catheter drainage (PCD) has opened a new therapeutic possibility for this group of patients and emerging data suggest that PCD should be the preferred option in such group of patients.
据报道，阿米巴肝脓肿（ALA）破裂继发的阿米巴性腹膜炎在2.4%至13%的病例中发生，死亡率很高。对于伴有弥漫性阿米巴性腹膜炎的破裂ALA应如何进行最佳治疗，目前仍未达成共识。ALA破裂后自由进入腹膜的患者接受手术治疗后的死亡率在20%至50%之间。经皮导管引流（PCD）的引入为这类患者开辟了一种新的治疗可能性，新出现的数据表明PCD应是这类患者的首选治疗方法。
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