张建平,倪家连,糖尿病病人合并细菌性肝脓肿的临床特点(附42例报告)

时间 : 2009-11-29 03:04:36 来源：www.chemyq.com

[摘要]

目的　总结糖尿病病人合并细菌性肝脓肿的临床特点和治疗经验。方法　回顾性分析 42例糖尿病病人合并细菌性肝脓肿临床资料,并与同期收治非糖尿病肝脓肿病人比较。结果　糖尿病病人合并肝脓肿脓液细菌培养阳性率

前言目的　总结糖尿病病人合并细菌性肝脓肿的临床特点和治疗经验。方法　回顾性分析42例糖尿病病人合并细菌性肝脓肿临床资料,并与同期收治非糖尿病肝脓肿病人比较。结果　糖尿病病人合并肝脓肿脓液细菌培养阳性率、脓腔大小、住院时间与非糖尿病肝脓肿病人比较有显著性差异,而治愈率无差异。结论　糖尿病肝脓肿病人主要为隐源性肝脓肿,常见致病菌为肺炎克雷白杆菌,治疗应强调有效控制血糖、合理应用抗生素、全面营养支持和脓腔个体化治疗,可使预后与非糖尿病肝脓肿病人无差异。
ObjectiveTosummarizetheclinicalfeaturesandtreatmentexperienceofpatientswithliverabscesscomplicatedwithdiabetesmellitus.MethodsForty-twocasesofliverabscesscomplicatedwithdiabetesmellituswereanalyzedretrospectivelyandcomparedwiththosewithliverabscessbutnodiabetesmellitus.ResultsThereweresignificantdifferencesbetweenthetwogroupsinpositiverateofbacteriacultureinpus,meansizeofpurulentcavityandmeanhospitalstay,buttherewasnosignificantdiffer...