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本文报告45例小儿化脓性肝脓肿,以学龄儿童占多数。其感染来源以胆道及呼吸道感染多见。临床表现以发热、右上腹痛、肝肿大、肝区压痛、肝区包块多见,肝脓液培养以葡萄球菌最多。本组内科治疗36例,手术治疗9例,两组均采用两种或三种有效抗菌素联合治疗。对严重中毒症状辅以激素治疗,同时肝穿排脓,输血,维持水电介质平衡等支持疗法。对抗菌素治疗无效者转外科手术治疗。两组总治愈率为73.3%,好转为22.3%,无效为4.4%,多数经内科综合治疗,预后较好。
This article reports 45 cases of pediatric suppurative liver abscess, accounting for the majority of school-age children. The source of infection with biliary and respiratory infections more common. Clinical manifestations of fever, right upper quadrant pain, hepatomegaly, liver tenderness, liver mass more common, liver pus culture to staphylococcus up. The group of 36 cases of medical treatment, surgical treatment of 9 cases, two groups were used two or three effective antibiotic combination therapy. Symptoms of severe poisoning supplemented by hormone therapy, while the liver through drainage, blood transfusion, water and electricity balance and other supportive therapy. On the ineffective treatment of antibiotics to surgical treatment. The total cure rate in both groups was 73.3%, improvement was 22.3%, and ineffectiveness was 4.4%. Most of them were cured by internal medicine and the prognosis was good.