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1.本文分析阿米巴肝脓肿104例,男女之比为4.4:1,年龄以21—50岁为最多,占67.9%,主要为工农兵患者,占71.1%。2.阿米巴肝脓肿表现复杂,主要有发烧(86.5%)、肝区痛(83.7%)、肝大(76.9%)。超声波检查可发现肝内液平段(93.3%)。如作肝穿刺,多数病例可抽出典型的巧克力色脓液(62.9%)。3.阿米巴肝脓肿的早期确诊率还要提高,本组病倒入院时误诊为其他疾病者40例,达38.5%。本文就诊断和鉴别诊断略加讨论。4.本病的治疗仍以药物治疗、辅以肝穿刺抽脓为首选疗法。在抗阿米巴药物中仍以氯喹为首选药物,灭滴灵也是有很好疗效的抗阿米巴药物。
1. This article analyzes 104 cases of amoebic liver abscess, male to female ratio of 4.4: 1, the age of 21-50 years of the largest, accounting for 67.9%, mainly workers and peasants and soldiers, accounting for 71.1%. 2. Amoeba liver abscess complicated performance, mainly fever (86.5%), liver pain (83.7%), large liver (76.9%). Ultrasound examination revealed intrahepatic fluid level (93.3%). For liver puncture, the majority of cases can be extracted typical chocolate pus (62.9%). 3. Amoeba liver abscess early diagnosis rate should be increased, this group was admitted to hospital misdiagnosed as other diseases in 40 cases, up to 38.5%. This article on diagnosis and differential diagnosis slightly discussed. 4. The treatment of the disease is still drug treatment, supplemented by liver puncture pus for the preferred therapy. Chloroquine is still the drug of choice in anti-amoebic drugs, and metronidazole is also a good anti-amoebic drug.