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自1986年以来,我们对急性细菌性肝脓肿34例进行非手术治疗,取得了满意效果,现报道如下: 1 临床资料 1.1 一般资料:34例均为我院内科住院病人,男21例,女13例,男女之比为1.6:1;年龄最大76岁,最小14岁,30～49岁计16例,占47.0％。均为急性发病。临床上有高热、右上腹或上腹部疼痛、恶心呕吐、厌食等。实验室检查:血白细胞总数和中粒细胞均显著增高,贫血4例,血沉增快6例,大便均未发现阿米巴囊虫或滋养体。肝功能:谷丙转氨酶升高12例,A/G倒置4例。B超:脓肿单发22例,多发12例;位于右叶27例,位于左叶3例,两叶均有的4例;脓肿最大110×95mm,最小14×13mm。 1.2 治疗方法:全部给予抗炎治疗,其中穿刺
Since 1986, we have non-surgical treatment of 34 cases of acute bacterial liver abscess, and achieved satisfactory results, are reported as follows: 1 Clinical data 1.1 General Information: 34 cases were inpatient hospital in our hospital, 21 males and females 13 cases, the ratio of male to female 1.6: 1; the oldest 76 years old, the youngest 14 years old, 30 to 49 years old in 16 cases, accounting for 47.0%. Are acute onset. Clinically high fever, right upper quadrant or upper abdominal pain, nausea and vomiting, anorexia and so on. Laboratory tests: the total number of leukocytes and granulocytes were significantly higher in 4 cases of anemia, ESR increased in 6 cases, stools were not found in coccidia or trophozoites. Liver function: alanine aminotransferase increased in 12 cases, A / G inverted in 4 cases. B ultrasound: abscess single hair in 22 cases, multiple in 12 cases; located in the right lobe 27 cases, located in the left lobe in 3 cases, two lobes were 4 cases; abscess largest 110 × 95mm, the smallest 14 × 13mm. 1.2 Treatment: All given anti-inflammatory treatment, including puncture