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本文总结了我院1982年至1992年间收治的16例小儿细菌性肝脓肿,男13例,女3例,年龄3岁～14岁,入院前病程5天～2月余。有上呼吸道感染史3例,胆道蛔虫史2例,细菌性痢疾及肛旁脓肿史各1例,原因不明者9例。脓肿单发9例,多发7例。右叶13例(其中单发8例,多发5例),左叶1例,左右叶均有2例。白细胞总数及中性白细胞均明显增高;大便均未发现阿米巴囊虫或滋养体。转肽酶增高11例,其中6例伴转氨酶和乳酸脱氢酶升高,A/G 倒置7例。
This article summarizes 16 cases of pediatric bacterial liver abscess treated in our hospital from 1982 to 1992, including 13 males and 3 females, aged 3 to 14 years old, with a course of 5 days to more than 2 months before admission. There were 3 cases of upper respiratory tract infection, 2 cases of biliary ascaris, 1 case of bacillary dysentery and perianal abscess, 9 cases of unknown cause. Abscess single in 9 cases, multiple in 7 cases. Right lobe in 13 cases (including single in 8 cases, multiple in 5 cases), left lobe in 1 case, both left and right lobe in 2 cases. The total number of white blood cells and neutrophils were significantly increased; no stools were found in amoeba cysticercosis or trophozoites. Elevated transpeptidase in 11 cases, including 6 cases with elevated transaminase and lactate dehydrogenase, A / G inversion in 7 cases.