摘要：目的 探讨细菌性肝脓肿的诊治经验.方法 回顾性分析我院自2000年12月至2008年12月收治76例细菌性肝脓肿的临床特征、实验室及影像学检查、微生物学检查、治疗方法和预后.结果 糖尿病、胆道疾病是细菌性肝脓肿的最常见病因,绝大多数患者的血常规检查示白细胞不同程度升高,B超、CT是影像学检查的重要手段.多数患者通过保守治疗及经皮脓肿穿刺和(或)置管引流而治愈.结论 细菌性肝脓肿以肺炎克雷伯菌、大肠埃希氏菌感染多见,治疗宜及时采取个体化和综合措施,必要时应早期外科处理. Abstract： Objective To investigate the experience in diagnosis and surgical treatment of bacterial liver abscess.Methods The diagnosis and treatment of 76 patients with bacterial liver abscess from 2000 to 2008 years were reviewed retrospectively.Results Biliary tract disease and diabetes were most frequent causes responsible for bacterial liver abscess.Blood routine showed WBC increased significantly in most cases. Ultrasound and computed tomography were important modality for diagnosis. Percutaneous and transhepatic cholangiography drainage of bacterial liver abscess can be used for most cases,which was simple and safe. Conclusions The most frequent pathogens isolated from bacterial liver abscess are klebsiella pneumoniae and eschedchia coli. Bacterial liver abscess patients should be treated with individual and comprehensive approaches in time.Earlier surgical processes should be takem if necessary.

关键词：细菌性肝脓肿 liver abscess diagnosis and 

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