Bilfinger T V, Hayden C K, Oldham K T, Lobe T E
South Med J. 1986 Jan;79(1):37-40. doi: 10.1097/00007611-198601000-00012.
Pyogenic liver abscesses are rare in previously healthy children. This review reports ten such cases of pyogenic abscess seen between 1963 and 1984. The mean age in these children was 6.3 years. One child died. Of the nine survivors, five had successful open surgical drainage. Two abscesses were drained percutaneously. Another abscess drained spontaneously into the biliary system, and one abscess was treated with antibiotics alone. The single most helpful diagnostic test was abdominal ultrasonography. Our experience is evaluated in the context of other reports of pyogenic abscesses in children.
化脓性肝脓肿在既往健康的儿童中较为罕见。本综述报告了1963年至1984年间所见的10例此类化脓性脓肿病例。这些儿童的平均年龄为6.3岁。1名儿童死亡。在9名幸存者中，5例行成功的开放性手术引流。2个脓肿经皮引流。另1个脓肿自发排入胆道系统，1个脓肿仅用抗生素治疗。最有用的单项诊断检查是腹部超声检查。我们结合其他儿童化脓性脓肿的报告对我们的经验进行了评估。
