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目的:探讨糖尿病合并细菌性肝脓肿的临床表现,诊断和治疗要点。方法:回顾性分析糖尿病并发肝脓肿10例。结果:糖尿病并发肝脓肿多发生于右叶。好发于血糖控制不良的中老年2型糖尿病病人,胆囊炎,胆结石是主要诱因, 细菌培养阳性率较低。诊断首选B超。治疗方法为B超引导下肝穿刺置管引流,同时使用有效抗生素,用胰岛素控制血糖。经内外科治疗10例均临床痊愈。结论:糖尿病合并肝脓肿临床表现不典型,诊断较困难。对糖屎病伴有发热者应高度重视。控制血糖,及时治疗胆道感染是预防本病发生的重要措施。
Objective: To investigate the clinical manifestations, diagnosis and treatment points of diabetic liver bacterial abscess. Methods: A retrospective analysis of 10 cases of diabetic liver abscess. Results: Diabetic liver abscess occurred in the right lobe. Occur in poor blood glucose control in elderly patients with type 2 diabetes, cholecystitis, gallstones are the main incentive, the lower the positive rate of bacterial culture. Diagnosis preferred B-. Treatment for B-guided liver puncture catheter drainage, while the use of effective antibiotics, insulin control of blood sugar. After the surgical treatment of 10 cases were clinically cured. Conclusion: The clinical manifestations of diabetic liver abscess are not typical, the diagnosis is more difficult. Sugar feces disease accompanied by fever should attach great importance. Control of blood sugar, timely treatment of biliary tract infection is an important measure to prevent the occurrence of this disease.