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1、ese,,,中国糖尿病杂志2001年第9卷第3期i旦JournalofDiabetesJuly2002volgNo3.·处167糖尿病并发肝脓肿的临床特点及治疗对策’冉兴无贾学元’谢艳李秀钧梁寒忠septi。veraseessnaetes,DLA),。摘要目的总结分析糖尿病并发肝脓肿(libidibi的临床特点并探讨其治疗策略noncrs,。DLA方法对DLA及同期收治的非糖尿病肝脓肿(diabetihveabscesNDLA)进行回顾性对比分析结果主要,,,.发生于老年人男女患病率相近而NDLA主要发生于40岁左右中年人男多于女(尸<005);DLA
2、的诱因依次为肺部、、,、;,感染结石性胆囊炎尿路感染而NDLA依次为胆道系统病变腹腔手术等病原学方面DLA主要为肺炎克雷伯杆菌,.G一、、;4等杆菌感染而NpLA则多为金黄色葡萄球菌大肠杆菌肺炎克雷伯杆菌等感染DLA治愈率较对照组低(36%vs.,.,....,.。674%尸<005)平均住院时间较对照组长(296士141天vs191士120天尸<005)结论糖尿病是肝脓肿重要的易患;一,,因素之一早期静脉应用足量抗G杆菌抗生素控制感染胰岛素控制血糖以及彻底的手术切开引流是成功治疗。DLA的关键关挂词糖尿病肝脏脓肿Astudyontheelinieal
3、eharacteristiesandtheraPeuticstrategyofsePticliverabseessindiabetiesRanXngwu,auuan,eng,etaliJiXeyXiYapartentonoerinoogyInternaeeine,lstniversityospita,estnanversityo(DemfEdl/lMdiUHlWChiUifeeaenees,engduMdilSciCh610041)AtractobeetiveTostudytheeliniealeharaeteristiesofseptielivera
4、bseessindiabeties(DLA)andsearehforbsjateraeutestrateeoeorovuaesurvvors.oeeareeorso‘eeveneaseshpigyinthhpfimpinglifeqlityofthiMethdsMdildfl.withDLAand46easeswithnondiabetieliverabseess(NDLA)werereviewederitieallyandretrosPeetivelyResultsotenoeeurreneeratients,tsimilarortynotsexes
5、;resposngfaetorsoere(1)DLAfdildlypwihmbidiibh(2)PdiifDLAwpuonaryineton,aeuteeoeeystits,urnarytraetneetion;ein,arytraetsorersanntra-lmfeihliiifwhilNDLAbilididdiabdominaloperationwere。ontributefaetorswith54%patientsbeing。ryptogenie;(3)Klebsiellapneumoniaewastheatoenans,seereaeo,es
6、eaneuonae,et。.ereteaormajorPhginDLAdtaphyloeoeeusaureusEhihiliKlbillpmiwhmjpatogensn;ereasnosnifieantereneenenieaanifestatons,oeatonoaseessanszeohiNDLA(4)Thwigdiffililmilifbdifaseesseteentesetrous;esasraeaserantat.vs,,bbwhwogp(5)ThmidignositwhighinnLAthhinNDLA(545%256%.、eeuratv.
7、.,.,P(005);(6)ThieratiowaslowerinDLAthanthatinNDLA(364vs674P005)themean%%8、pyogenieliverabseesseswithparenteralantibioties
