[肝阿米巴脓肿：巴马科加布里埃尔·图雷大学医院中心的临床情况及预后]
[Hepatic Amoebic Abscess: Clinical Aspects And Prognosis At CHU De Gabriel Touré De Bamako].
作者信息
Samaké Doumbia K Épouse, Coulibaly Sow H Epouse, Mallé O, Dicko M Y, Soumaré G, Katilé D, Guindo H, Sidibé Sanogo Sd Epouse, Maiga A, Tounkara M C, Konaté A, Diarra M T, Maiga M Y
机构信息
Service d'Hépato-gastroentérologie CHU Gabriel Touré Bamako-Mali.
Service de Médecine interne du CHU du Point G.
出版信息
Mali Med. 2018;33(4):23-25.
UNLABELLED
The main goal of this study was to analyze hepatic amoebiasis abscess at the service of gastroenterology of CHU Gabriel Touré, Bamako- Mali.
MATERIAL AND METHOD
It was longitudinal and prospective study from January 2013 to February 2014 and concerned patients having hepatic abscess diagnosed by echography and amoebic serology or chocolate pus finding.
RESULT
During the study the frequency of disease was 2.4% (24/970). The sex-ratio was 2 with a mean age of 36.8±10.9 years. Smoking was observed in 58.8% of cases. Abdominal pain, fever and hepatomegaly were found respectively in 87.5%, 83.3% and 79.3% of patients. The abscess was mainly located in right lobe. HIV serology was performed among 18 patients and was negative in all cases. The medical treatment by the metronidazol was systematically proposed and was associated to abscess tap in 42.2% of patients. A total recovery was observed in 23 patients and 1 patient was died by abscess rupture in the peritoneum.
CONCLUSION
An early management cans evord complication.
未标注
本研究的主要目的是分析在马里巴马科加布里埃尔·图雷大学医院胃肠病科诊治的肝阿米巴病脓肿情况。
材料与方法
这是一项2013年1月至2014年2月的纵向前瞻性研究，涉及通过超声检查、阿米巴血清学检查或发现巧克力样脓液确诊为肝脓肿的患者。
结果
研究期间，该病的发病率为2.4%（24/970）。男女比例为2，平均年龄为36.8±10.9岁。58.8%的病例有吸烟史。分别有87.5%、83.3%和79.3%的患者出现腹痛、发热和肝肿大。脓肿主要位于右叶。对18例患者进行了HIV血清学检测，所有病例均为阴性。系统地采用甲硝唑进行药物治疗，42.2%的患者同时进行了脓肿穿刺引流。23例患者完全康复，1例患者因脓肿破裂进入腹腔死亡。
结论
早期处理可避免并发症。
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