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小儿肝脓肿是小发热性疾病的原因之一。可由细菌或溶组织阿米巴原虫引起,前者多继发于身体其他部分的细菌性感染;后者则是肠道阿米巴病的并发症。本文收集本院小儿肝脓肿住院患者21例进行临床分析。一、诊断根据本组病例的肝脓肿诊断根据如下: 1.发热、腹痛及胃肠道症状; 2.肝脓肿大、肝区叩击痛; 3.X线检查有横膈活动减弱,右膈升高及右侧胸膜反应; 4.超声波检查出现肝内液平段; 5.肝穿刺或手术引流出黄白色或巧克力色脓液,部分作细菌培养阳性或找到阿米巴原虫而作出病原诊断; 6.经相应的特效(抗菌素或抗阿米巴)治疗有效。凡有第5项或第4项,加上其余中任何三项,则作出本组肝脓肿的诊断。二、临床资料1.肝脓肿性质:属细菌性者18例;阿米巴性3例(其中2例合并细菌感染)。2.性别和年龄:男11例,女10例。年龄:<1岁1例;1～4岁2例,5～9岁10例;10～14岁8例。5岁以上者最多,占85.71%。年龄最小的1例是出生后4个月,为细菌性肝脓肿。3例阿米巴性肝脓肿年龄均在5岁以上。
Liver abscess in children is one of the causes of small febrile disease. May be caused by bacteria or dissolved Entamoeba histolytica, the former mostly secondary to bacterial infection in other parts of the body; the latter is a complication of intestinal amoebiasis. This collection of hospitalized patients with pediatric liver abscess in 21 cases for clinical analysis. First, the diagnosis According to the diagnosis of liver abscess in this group of patients based on the following: 1. Fever, abdominal pain and gastrointestinal symptoms; 2. Liver abscess, liver percussion pain; 3. X-ray examination with diaphragmatic activity weakened, the right diaphragm Elevated and right pleural reaction; 4. Ultrasound examination of the intrahepatic fluid level segment; 5. Liver puncture or surgical drainage of yellow-white or chocolate pus, part of the bacterial culture positive or to find a pathogen diagnosis of amebiasis ; 6. The corresponding special effects (antibiotics or anti-amoebic) treatment effective. Where there is 5 or 4, plus any of the remaining three, then the diagnosis of liver abscess in this group. Second, the clinical data 1. Liver abscess nature: a bacterial 18 cases; amoebic in 3 cases (of which 2 cases with bacterial infection). Sex and age: 11 males and 10 females. Age: <1 year in 1 case; 1 to 4 years in 2 cases, 5 to 9 years in 10 cases; 10 to 14 years in 8 cases. Most people over the age of 5, accounting for 85.71%. One of the youngest cases is 4 months after birth, for bacterial liver abscess. 3 cases of amebic liver abscess are more than 5 years of age.