论文部分内容阅读
作者自1998年元月～2000年11月在CT引导下穿刺置管治疗细菌性肝脓肿10例,除1例置管误入胸腔造成气胸及出血而急诊手术治愈外,其余病例均一次置管成功后抗生素冲洗脓腔而治愈,报道如下: 1 一般资料 本组10例,男7例,女3例,单发脓肿6例,多发4例,肝右叶8例,肝左叶2例;年龄9～52岁,发病时间7～15天。发病原因:胆道蛔虫症,胃溃疡,胆囊炎,上呼吸道感染等,1例发生于PCD胆道造影术后。临床表现:本组病例发热体温达38.5℃～40℃,伴有不同程度肝区疼痛及肿大,7例透视下右膈肌升高,其中3例出现右侧反应性胸膜炎及少量胸腔积液。化验检
The author from January 1998 to November 2000 CT-guided puncture catheter treatment of bacterial liver abscess in 10 cases, in addition to a case of catheterization into the chest caused by pneumothorax and bleeding and emergency surgery to cure, and the remaining cases were placed in a tube After the success of antibiotics rinse abscess and cured, reported as follows: 1 General Information The group of 10 patients, 7 males and 3 females, single abscess in 6 cases, 4 cases of multiple, right hepatic lobe in 8 cases, left hepatic lobe in 2 cases; Age 9 to 52 years old, onset time 7 to 15 days. Cause of the disease: biliary ascariasis, gastric ulcer, cholecystitis, upper respiratory tract infection, 1 case occurred in PCD cholangiography. Clinical manifestations: fever in this group of patients reached 38.5 ℃ ~ 40 ℃, with varying degrees of liver pain and swelling, right under the perspective of seven cases of diaphragm elevation, of which 3 cases of right pleural effusion and pleural effusion. Laboratory examination