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[腰大肌原发性脓肿。热带国家的一种常见疾病。关于87例病例]

[Primary abscess of the psoas. A common disease in tropical countries. Apropos of 87 cases].

作者信息

Masso-Misse P, Yao G S, Essomba A, Moukouri M, Bob'Oyono J M, Malonga E

机构信息

Chirurgie Digestive et Générale, Hôpital Central, Yaoundé, Cameroun.

出版信息

J Chir (Paris). 1994 Apr;131(4):201-4.

PMID:8083311
Abstract

Over a 4 years period, 87 cases of primary abscesses of the psoas were treated surgically at the Central Hospital in Yaoundé. The psoas muscle was involved in 10.17% of the cases with myositis. Most patients were in young male and the abscesses were in an advanced stage. Staphylococcus was the most frequently encountered germ (78.4%) and enterobacteria were only found in 3.07%. The diagnosis was based on clinical and echographic findings. There was 1 patient with acquired immunodeficiency syndrome (AIDS). Most cases were treated by extraperitoneal drainage. Morbidity and mortality were low and generally occurred in debilitated patients (AIDS, involvement of several muscle groups, diabetes).

摘要

在4年期间,雅温得中心医院对87例原发性腰大肌脓肿进行了外科治疗。腰大肌受累占肌炎病例的10.17%。大多数患者为年轻男性,且脓肿处于晚期。葡萄球菌是最常见的病原体(78.4%),肠杆菌仅占3.07%。诊断基于临床和超声检查结果。有1例获得性免疫缺陷综合征(艾滋病)患者。大多数病例采用腹膜外引流治疗。发病率和死亡率较低,一般发生在身体虚弱的患者(艾滋病、多肌群受累、糖尿病)中。

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