| 杨光伟,盛圆,王炜,等.2型糖尿病合并细菌性肝脓肿73例临床分析[J].中国临床保健杂志,2018,21(4):541-543. |
| 2型糖尿病合并细菌性肝脓肿73例临床分析 |
| Clinical analysis of type 2 diabetes mellitus with bacterial liver abscess |
| 投稿时间：2018-04-20 |
| DOI：10.3969/J.issn.1672-6790.2018.04.028 |
| 中文关键词: 糖尿病,2型 肝脓肿,细菌性 肺炎克雷伯菌 |
| 英文关键词: Diabetes mellitus,type 2 Bacterial liver abscess Klebsiella pneumoniae 〖FL |
| 基金项目:安徽省自然科学基金(1508085SMH227) |
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| 中文摘要: |
| 目的 分析2型糖尿病合并细菌性肝脓肿的特征,为临床诊疗提供依据。方法 回顾性分析73例2型糖尿病合并细菌性肝脓肿的临床资料,总结其临床特征、实验室及影像学检查结果、病原学检查结果和治疗转归等。结果 患者临床表现以发热最为常见(80.8%),其次是腹痛(27.4%)。多数患者血糖控制不达标(89%),中性粒细胞百分比升高(75.0%)。血培养或脓液培养肺炎克雷伯菌阳性率占67.9%。经抗生素或联合肝脓肿穿刺引流90.2%患者获得治愈或好转。结论 2型糖尿病合并肝脓肿的患者血糖控制多不理想,肺炎克雷伯菌是主要致病菌,及时进行抗生素联合肝脓肿穿刺引流,预后良好。 |
| 英文摘要: |
| Objective To analyze the characteristics of type 2 diabetes mellitus with bacterial liver abscess and provide basis for clinical diagnosis and treatment.Methods The clinical data of 76 cases of type 2 diabetes mellitus with bacterial liver abscess were retrospectively analyzed.The characteristics of clinical features,laboratory and imaging examination,pathologic microbiological results,treatment and prognosis were summarized.Results The most common clinical manifestations of the patients were fever (80.8%),followed by abdominal pain (27.4%).Most patients had poor control of blood glucose (89%),and the percentage of neutrophils was elevated (75%).The positive rate of klebsiella pneumoniae was 67.9% in blood culture or purulent culture.90.2% patients were cured or improved by antibiotics or combined with liver abscess puncture and drainage.Conclusions Most patients with bacterial liver abscess have poor control of glucose,and klebsiella pneumoniae is the main pathogenic bacteria.Timely antibiotic treatment combined with liver abscess puncture and drainage can improve the prognosis. |
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