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本文结合文献复习报告1例沙门氏菌肝脓肿经药物治疗收效。患者74岁,白种妇女。恶心,呕吐,弥漫性腹痛和腹泻9天,无发热、寒战、盗汗和黑便。18年前曾作胆囊切除。入院时病人有轻度呼吸困难,巩膜无黄染,右肋下肝大8cm,左下腹和上腹部均有压痛。胸部 X 线示右半横膈抬高。腹部 X 线示有巨大的肝肿大。肝脾扫描肝右叶有大的充实性缺损。腹部超声波图发现1个最大上下径为25cm,中间横径10cm,前后径17cm 的肝缺损。乙状结肠镜下见非特异性直肠炎,大便培养 C 型沙门氏菌生长,钡灌肠发现肠憩室病。
This article combined with the literature review of a case of Salmonella liver abscess by the efficacy of drugs. 74-year-old white woman. Nausea, vomiting, diffuse abdominal pain and diarrhea for 9 days without fever, chills, night sweats and melena. Eighteen years ago, cholecystectomy. Patients admitted to hospital had mild dyspnea, sclera no yellow dye, the right costal large 8cm, left lower quadrant and upper abdomen are tenderness. Chest X-ray showed the right diaphragm raised. Abdominal X-ray shows a huge hepatomegaly. Liver and spleen scan the right lobe has a large solid defect. Abdominal ultrasonography found a maximum diameter of 25cm, the middle diameter of 10cm, anteroposterior diameter of 17cm of liver defects. Sigmoidoscopy to see non-specific proctitis, stool culture growth of Salmonella type C, barium enema found intestinal diverticulosis.