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一种通过醋酸灌洗治疗化脓性肝脓肿合并棘球蚴囊肿的新方法。病例报告及文献综述。

A novel method for treatment of pseudomonas pyogenic hepatic abscess complicating an echinococcal cyst by irrigation with acetic acid. A case report and literature review.

作者信息

Hassan Kowthar Salman

机构信息

Sultan Qaboos University Hospital, Department of Medicine, Oman.

出版信息

IDCases. 2021 Jun 10;25:e01186. doi: 10.1016/j.idcr.2021.e01186. eCollection 2021.

DOI:10.1016/j.idcr.2021.e01186
PMID:34189036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8217704/
Abstract

UNLABELLED

Hepatic hydatid cysts can be complicated by pyogenic abscesses. We report a case of hepatic hydatid cysts presenting to Sultan Qaboos University Hospital (SQUH) on 29 June 2010 complicated by secondary infection with fully sensitive . The infection persisted despite standard treatment (drainage and systemic antibiotics) and was eventually cured with a novel method using acetic acid.

METHODS

Instillation of acetic acid (in the form of white vinegar) into the hepatic abscess through the pig tail drainage tube.

RESULTS

The administration of acetic acid (6%) in the form of white vinegar was well tolerated and safe to the patient and resulted in complete clinical and radiographic resolution of the hepatic abscess.

CONCLUSION

Acetic acid (vinegar) irrigation can be used to clear a refractory pyogenic hepatic abscess due to infection.

摘要

未标注

肝包虫囊肿可并发化脓性脓肿。我们报告一例于2010年6月29日就诊于苏丹卡布斯大学医院(SQUH)的肝包虫囊肿病例,该病例并发继发感染且对药物完全敏感。尽管进行了标准治疗(引流和全身使用抗生素),感染仍持续存在,最终通过一种使用醋酸的新方法得以治愈。

方法

通过猪尾引流管将醋酸(以白醋形式)注入肝脓肿。

结果

以白醋形式给予6%的醋酸,患者耐受性良好且安全,肝脓肿在临床和影像学上完全消退。

结论

醋酸(醋)冲洗可用于清除因感染导致的难治性化脓性肝脓肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa7/8217704/2cb78c645dfc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa7/8217704/2d18e05d2807/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa7/8217704/0a0487d58642/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa7/8217704/bfd0617678da/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa7/8217704/2cb78c645dfc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa7/8217704/2d18e05d2807/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa7/8217704/0a0487d58642/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa7/8217704/bfd0617678da/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa7/8217704/2cb78c645dfc/gr4.jpg

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