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Idiopathic Liver Abscesses

机译:特发性肝脏脓肿

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摘要

The aim of the study was to evaluate the results of the abscess treatment according to prospective protocol. There were 128 patients (m.77, f.51, m.a.51). The treatment included antibiotic therapy alone for the abscesses < 6cm in size (36), percutaneous aspiration for the single abscess > 6cm in size (48)) and the open drainage for multiple abscesses (44). Out of 36 patients treated initially with antibiotics alone 16 (45%) recovered but 20 (55%) required open drainage procedure. Out of 48 patients treated initially with percutaneous aspiration 32 (66.6%) recovered but 16 (33.4%) required additional surgical intervention; 4 (8.3%) died due to sepsis. Out of 44 patients treated initially with open surgical drainage 8 (18%) developed complications; 3 of them (6.8%) died due to sepsis. Antibiotic therapy, percutaneous aspiration and open surgical drainage are the complementary methods of treatment. The result of treatment is dependent upon the peculiarity of the abscess itself.
机译:该研究的目的是根据预期议定书评估脓肿治疗的结果。有128名患者(M.77,F.51,M.A.51)。该治疗包括单独为脓肿<6cm的抗生素治疗(36),对单个脓肿> 6cm的经皮吸入(48))和多个脓肿(44)的开放引流。在最初用抗生素预处理的36名患者中有16(45%)回收但20(55%)所需的开放引流程序。在最初用经皮吸气32(66.6%)恢复的48名患者中,需要进行16(33.4%)所需的手术干预; 4(8.3%)因败血症死亡。在最初治疗的44名患者中,开放手术引流8(18%)发育并发症;其中3个(6.8%)因败血症而死亡。抗生素治疗,经皮吸气和开放手术引流是互补的治疗方法。治疗结果取决于脓肿本身的特殊性。

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