• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

病例报告：胰头癌化疗后肝脓肿经皮引流术后发生脑梗死。

Case report: Brain infarction following percutaneous drainage of a liver abscess post-chemotherapy for pancreatic head cancer.

作者信息

Deng Wan-Qiu, Wei Bo, Li Zheng-Yan, Liu Kai

机构信息

Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China.

Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Front Med (Lausanne). 2024 Dec 11;11:1453533. doi: 10.3389/fmed.2024.1453533. eCollection 2024.

DOI:10.3389/fmed.2024.1453533
PMID:39726681
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11670067/
Abstract

Bacterial liver abscesses commonly occur in patients with immune deficiencies such as diabetes, post-chemotherapy, or post-immunosuppressive therapy. The recommended treatment for liver abscesses exceeding 5 cm in a diameter is anti-infection therapy combined with percutaneous catheter drainage. Complications may include local spread to adjacent tissues or organs and thrombosis of the liver and portal veins. Rare hematogenous spread to distant sites, such as endophthalmitis and central nervous system embolism, have been reported, though such complications are uncommon post-drainage. This case report details a patient who suffered a brain infarction shortly after percutaneous drainage of a large liver abscess.

摘要

细菌性肝脓肿常见于患有免疫缺陷的患者，如糖尿病患者、化疗后患者或免疫抑制治疗后患者。直径超过5厘米的肝脓肿的推荐治疗方法是抗感染治疗联合经皮导管引流。并发症可能包括局部扩散至相邻组织或器官以及肝和门静脉血栓形成。虽然经引流后此类并发症并不常见，但已有罕见的血行播散至远处部位的报道，如眼内炎和中枢神经系统栓塞。本病例报告详细介绍了一名患者，该患者在经皮引流一个大的肝脓肿后不久发生了脑梗死。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b72/11670067/3e7dfd959773/fmed-11-1453533-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b72/11670067/d94e63ea4127/fmed-11-1453533-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b72/11670067/902cc934afa9/fmed-11-1453533-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b72/11670067/3e7dfd959773/fmed-11-1453533-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b72/11670067/d94e63ea4127/fmed-11-1453533-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b72/11670067/902cc934afa9/fmed-11-1453533-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b72/11670067/3e7dfd959773/fmed-11-1453533-g003.jpg

相似文献

1
Case report: Brain infarction following percutaneous drainage of a liver abscess post-chemotherapy for pancreatic head cancer.病例报告：胰头癌化疗后肝脓肿经皮引流术后发生脑梗死。
Front Med (Lausanne). 2024 Dec 11;11:1453533. doi: 10.3389/fmed.2024.1453533. eCollection 2024.
2
[Percutaneous drainage of liver and splenic abscess].[肝脾脓肿的经皮引流]
Z Gastroenterol. 1991 Apr;29(4):146-52.
3
Caudate lobe amebic abscesses: percutaneous image-guided aspiration or drainage.尾状叶阿米巴脓肿：经皮影像引导抽吸或引流。
Abdom Radiol (NY). 2022 Mar;47(3):1157-1166. doi: 10.1007/s00261-021-03395-z. Epub 2021 Dec 29.
4
Successful hepatic resection for invasive large multiloculated liver abscesses with percutaneous drainage failure: A case report.经皮引流失败后成功进行肝切除术治疗侵袭性多房性肝脓肿：一例报告。
Front Med (Lausanne). 2023 Jan 6;9:1092879. doi: 10.3389/fmed.2022.1092879. eCollection 2022.
5
Early percutaneous catheter drainage in protecting against prolonged fever among patients with pyogenic liver abscess: a retrospective cohort study.早期经皮经肝胆囊穿刺引流术预防化脓性肝脓肿患者发热时间延长：一项回顾性队列研究。
Ann Med. 2022 Dec;54(1):2269-2277. doi: 10.1080/07853890.2022.2110612.
6
Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage.肝脓肿的经皮治疗：针吸术与导管引流术
AJR Am J Roentgenol. 1998 Apr;170(4):1035-9. doi: 10.2214/ajr.170.4.9530055.
7
[Suburban amebiasis: the diagnostic aspects via computed tomography and echography and the percutaneous treatment of amebic liver abscesses].[郊区阿米巴病：通过计算机断层扫描和超声检查的诊断方面以及阿米巴肝脓肿的经皮治疗]
Radiol Med. 2000 Mar;99(3):169-73.
8
Management of large amoebic liver abscess--a comparative study of needle aspiration and catheter drainage.大型阿米巴肝脓肿的治疗——针吸与导管引流的对比研究
J Indian Med Assoc. 2012 Jan;110(1):13-5.
9
Liver Abscesses: Factors That Influence Outcome of Percutaneous Drainage.肝脓肿：影响经皮引流治疗效果的因素。
AJR Am J Roentgenol. 2017 Jul;209(1):205-213. doi: 10.2214/AJR.16.17713. Epub 2017 May 15.
10
Imaging-guided percutaneous needle aspiration or catheter drainage of neonatal liver abscesses: 14-year experience.影像引导下经皮穿刺抽吸或导管引流新生儿肝脓肿：14年经验
AJR Am J Roentgenol. 2008 Mar;190(3):616-22. doi: 10.2214/AJR.07.2888.

本文引用的文献

1
A case report and treatment considerations for pyogenic liver abscess with biliary fistula.一例伴有胆瘘的化脓性肝脓肿病例报告及治疗考量
Int J Surg Case Rep. 2024 Mar;116:109343. doi: 10.1016/j.ijscr.2024.109343. Epub 2024 Feb 2.
2
Needle Aspiration Versus Catheter Drainage in Medium-Sized (5-10 cm) Liver Abscesses: A Comparative Study in Mumbai, India.印度孟买关于中等大小（5 - 10厘米）肝脓肿的针吸术与导管引流术的对比研究
Cureus. 2023 Apr 28;15(4):e38240. doi: 10.7759/cureus.38240. eCollection 2023 Apr.
3
A population-based study of pyogenic liver abscess in Korea: Incidence, mortality and temporal trends during 2007-2017.
一项针对韩国化脓性肝脓肿的基于人群的研究：2007-2017 年期间的发病率、死亡率和时间趋势。
Liver Int. 2021 Nov;41(11):2747-2758. doi: 10.1111/liv.15034. Epub 2021 Aug 26.
4
Epidemiology of pyogenic liver abscesses in Germany: Analysis of incidence, risk factors and mortality rate based on routine data from statutory health insurance.德国化脓性肝脓肿的流行病学：基于法定健康保险的常规数据对发病率、危险因素和死亡率的分析。
United European Gastroenterol J. 2021 Nov;9(9):1039-1047. doi: 10.1002/ueg2.12132. Epub 2021 Jul 30.
5
Clinical characteristics and management of 1572 patients with pyogenic liver abscess: A 12-year retrospective study.1572 例化脓性肝脓肿患者的临床特征和治疗：一项 12 年回顾性研究。
Liver Int. 2021 Apr;41(4):810-818. doi: 10.1111/liv.14760. Epub 2020 Dec 28.
6
Analysis of the clinical characteristics of 202 patients with liver abscess associated with diabetes mellitus and biliary tract disease.202例糖尿病合并胆道疾病所致肝脓肿患者的临床特征分析
J Int Med Res. 2020 Aug;48(8):300060520949404. doi: 10.1177/0300060520949404.
7
Risk Factors, Management, and Outcomes of Pyogenic Liver Abscess in a US Safety Net Hospital.美国医疗保障体系下医院化脓性肝脓肿的风险因素、治疗方法和转归。
Dig Dis Sci. 2020 May;65(5):1529-1538. doi: 10.1007/s10620-019-05851-9. Epub 2019 Sep 26.
8
Epidemiology and clinical outcome of pyogenic liver abscess: an analysis from the National Health Insurance Research Database of Taiwan, 2000-2011.台湾 2000-2011 年国家健康保险研究数据库中化脓性肝脓肿的流行病学和临床转归分析。
J Microbiol Immunol Infect. 2016 Oct;49(5):646-653. doi: 10.1016/j.jmii.2014.08.028. Epub 2014 Nov 20.
9
Percutaneous needle aspiration versus catheter drainage in the management of liver abscess: a systematic review and meta-analysis.经皮针吸术与导管引流术治疗肝脓肿的系统评价和荟萃分析
HPB (Oxford). 2015 Mar;17(3):195-201. doi: 10.1111/hpb.12332. Epub 2014 Sep 10.
10
Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess.超声引导下经皮导管引流与针吸术治疗化脓性肝脓肿的比较
AJR Am J Roentgenol. 2007 Sep;189(3):W138-42. doi: 10.2214/AJR.07.2173.