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我科1981年1月~1985年12月共收治肝脓肿182例,其中58例配合应用α-糜蛋白酶脓腔注射,效果显著,无一例反应,特报告如下. 一、方法:无论阿米巴肝脓肿或细菌性肝脓肿,在通常使用抗阿米巴、抗细菌感染(包括抗厌氧菌)的基础上,加用α-糜蛋白酶作脓腔注射.先做试验性穿刺抽脓,如发现脓液,尽量抽干净,然后用α-糜蛋白酶5mg溶于5~10ml生理盐水中,注入脓腔,拔出针头,使其保留在脓腔中起作用,多数病例抽1~2次即已吸净,若药量不够,脓液消化不彻底或多个脓腔者,还可多次注射.
Our department from January 1981 to December 1985 a total of 182 cases of liver abscess were treated, of which 58 cases with application of α-chymotrypsin abscess injection, the effect was significant, without a response, especially reported as follows: First, the method: regardless of amoeba Liver abscess or bacterial liver abscess, in the general use of anti-amoebic, anti-bacterial infection (including anti-anaerobic bacteria), based on the addition of α-chymotrypsin for abscess injection. First do experimental puncture pus, if found pus , Try pumping pumping clean, and then use α-chymase 5mg dissolved in 5 ~ 10ml saline, into the abscess, pull out the needle, so that it remains in the abscess role, the majority of cases pumping 1 or 2 times that has been net , If the dose is not enough, pus digestion is not complete or multiple abscess, but also multiple injections.