Eyskens E, Timmermans U, Vanderputte S
Acta Chir Belg. 1977 Jul-Aug;76(4):407-15.
A case of liver abscess is analysed in the light of recent data from the literature. The attention is drawn on the increase in frequency of this disease over the last 10 years. The diagnosis is difficult to set on clinical and biological grounds but can be established with certainty by means of scintigraphy and hepatic angiography. Identification of the micro-organism is difficult and impossible in more than half of the cases. Treatment which is essentially surgical, in association with antibiotherapy specific of the anaerobic and gram negative micro-organisms, can reduce total mortality to 10%.
根据文献中的最新数据对一例肝脓肿病例进行了分析。人们注意到这种疾病在过去10年中发病率有所上升。基于临床和生物学依据难以做出诊断,但通过闪烁扫描和肝血管造影可以明确诊断。在超过半数的病例中,很难甚至无法鉴定出微生物。主要采用手术治疗,并结合针对厌氧菌和革兰氏阴性菌的抗生素疗法,可将总死亡率降至10%。