Kayabali I, Yilmaz S, Gurel M
Int Surg. 1983 Apr-Jun;68(2):149-50.
In this study, we present 117 cases of solitary pyogenic liver abscess. The average age was 30, and the most important clinical findings were pain (81.8%), chills and fever (52.2%) and hepatomegaly (64.1%). The laboratory findings were as follows: leukocytosis (61.4%), elevated sedimentation rate (71.6%), BUN over 50 mgs (15.3%), average SGOT: 20.1, SGPT: 20.3, and alkaline phosphatase: 82.6 mU. X-ray examination revealed pathological findings in the right pleural cavity and diaphragm in 61.5% of cases. Radioisotope scanning of the liver was helpful in 88.5% of cases. The preoperative diagnosis was correct in 72%. The abscess was located in the right lobe in 83.8%, in the left lobe in 14.5%, and in both lobes in 1.7%. The average abscess volume was 500 cc, and the pus was sterile in 77.7%. The overall complication rate was 31.6%, and the mortality rate was 17.9%. The patients were treated by early systematic surgical drainage.
在本研究中，我们报告了117例孤立性化脓性肝脓肿病例。平均年龄为30岁，最重要的临床症状为疼痛（81.8%）、寒战和发热（52.2%）以及肝肿大（64.1%）。实验室检查结果如下：白细胞增多（61.4%）、血沉加快（71.6%）、尿素氮超过50毫克（15.3%）、平均谷草转氨酶：20.1、谷丙转氨酶：20.3以及碱性磷酸酶：82.6毫单位。X线检查显示61.5%的病例右侧胸腔和膈肌有病理改变。肝脏放射性核素扫描在88.5%的病例中有所帮助。术前诊断正确率为72%。脓肿位于右叶的占83.8%，位于左叶的占14.5%，位于两叶的占1.7%。脓肿平均容积为500立方厘米，77.7%的脓液无菌。总体并发症发生率为31.6%，死亡率为17.9%。患者接受了早期系统性手术引流治疗。
