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细菌性肝脓肿的诊治进展

黄洋 张伟辉

引用本文:
Citation:

细菌性肝脓肿的诊治进展

DOI: 10.3969/j.issn.1001-5256.2018.03.045
详细信息
  • 中图分类号: R575.4

Research advances in diagnosis and treatment of bacterial liver abscess

  • 摘要: 细菌性肝脓肿是肝脏系统常见感染,严重时可危及生命。近年来细菌性肝脓肿流行病学及诊疗方法都发生了很大的变化,通过对肝脓肿主要致病菌及感染途径进行分析,总结了需要在临床中注意的新问题。在肝脓肿的治疗方面,分析了细菌性肝脓肿的不同治疗方式的优缺点,针对患者的具体病情采用合适的治疗方案,选择一种方式或者联合应用可达到个体化治疗的目的。

     

  • [1]GLICK WA, SIMO KA, SWAN RZ, et al.Pyogenic hepatic abscess secondary to endolumenal perforation of an ingested foreign body[J].J Gastrointest Surg, 2012, 16 (4) :885.
    [2]WANG J, YAN Y, XUE X, et al.Comparison of pyogenic liver abscesses caused by hypermucoviscous Klebsiella pneumoniae and non-Klebsiella pneumoniae pathogens in Beijing:a retrospective analysis[J].J Int Med Res, 2013, 41 (4) :1088.
    [3]SHELAT VG, CHIA CL, YEO CS, et al.Pyogenic liver abscess:does escherichia coli cause more adverse outcomes than klebsiella pneumoniae?[J].World J Surg, 2015, 39 (10) :2535-2542.
    [4]WU H, LI D, ZHOU H, et al.Bacteremia and other body site infection caused by hypervirulent and classic Klebsiella pneumoniae[J].Microb Pathog, 2017, 104:254-262.
    [5]GUO Y, WANG S, ZHAN L, et al.Microbiological and clinical characteristics of hypermucoviscous klebsiella pneumoniae isolates associated with invasive infections in China[J].Front Cell Infect Microbiol, 2017, 7:24.
    [6]TU JF, HUANG XF, HU RY, et al.Comparison of laparoscopic and open surgery for pyogenic liver abscess with biliary pathology[J].World J Surg, 2011, 17 (38) :4339.
    [7]LAI HC, LIN HC.Cryptogenic pyogenic liver abscess as a sign of colorectal cancer:a population-based 5-year follow-up study[J].Liver Int, 2010, 30 (9) :1387-1393.
    [8]KIM HY, CHANG WK, DONG RK, et al.Recurrent pyogenic liver abscess as a presenting manifestation of colorectal cancer[J].Korean J Intern Med, 2017, 32 (1) :174-177.
    [9]ALBENMOUSA A, SANAI FM, SINGHAL A, et al.Liver abscess presentation and management in Saudi Arabia and the United Kingdom[J].Ann Saudi Med, 2011, 31 (5) :528.
    [10]TSAI F C, HUANG Y T, CHANG L Y, et al.Pyogenic liver abscess as endemic disease, Taiwan[J].Emerg Infect Dis, 2008, 14 (10) :1592-1600.
    [11]TIAN LT, YAO K, ZHANG XY, et al.Liver abscesses in adult patients with and without diabetes mellitus:an analysis of the clinical characteristics, features of the causative pathogens, outcomes and predictors of fatality:a report based on a large population, retrospective study in China[J].Clin Microbiol Infect, 2012, 18 (9) :e314-e330.
    [12]CHEN SC, TSAI SJ, CHEN CH, et al.Predictors of mortality in patients with pyogenic liver abscess[J].Neth J Med, 2008, 66 (5) :196-203.
    [13]HO SW, YEH CB, YANG SF, et al.Pneumonia is an independent risk factor for pyogenic liver abscess:a population-based, nested, case-control study[J].PLo S One, 2017, 12 (6) :e0178571.
    [14]CHO H, LEE ES, LEE YS, et al.Predictors of septic shock in initially stable patients with pyogenic liver abscess[J].Scand J Gastroenterol, 2017, 52 (5) :589-594.
    [15]TATSUTA T, WADA T, CHINDA D, et al.A case of gas-forming liver abscess with diabetes mellitus[J].Intern Med, 2011, 50 (20) :2329-2332.
    [16]XU S, WANG Y, CHEN J, et al.Application of ultrasoundguided percutaneous intrahepatic portal vein catheterization with antibiotic injection for treating unliquefied bacterial liver abscess[J].Hepatol Res, 2017, 47 (3) :e187-e192.
    [17]NAZIR NT, PENFIELD JD, HAJJAR V.Pyogenic liver abscess[J].Cleve Clin J Med, 2010, 77 (7) :426-427.
    [18]GAO HN, YUAN WX, YANG MF, et al.Clinical signif icance of C-reactive protein values in antibiotic treatment for pyogenic liver abscess[J].World J Gastroenterol, 2010, 16 (38) :4871-4875.
    [19]ZHAO X, WANG BM, ZHANG JH, et al.The clinical features and cure methods of diabetes companied with pyogenic hepatic abscess[J].Chin J Gastroenterol Hepatol, 2007, 16 (4) :384-387. (in Chinese) 赵欣, 王邦茂, 张继红, 等.糖尿病并发细菌性肝脓肿的临床特点及诊治探讨[J].胃肠病学和肝病学杂志, 2007, 16 (4) :384-387.
    [20]ZEREM E, HADZIC A.Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess[J].AJR Am J Roentgenol, 2007, 189 (3) :138-142.
    [21]YANG XP, ZHANG Y, WANG LS, et al.Evaluation on efficacy and safety of precise treatment guided by ultrasound for acquired immune deficiency syndrome patients with liver abscess[J/CD].Chin J Exp Clin Infect Dis:Electronic Edition, 2017, 11 (3) :277-281. (in Chinese) 杨学平, 张瑶, 王连双, 等.超声引导精准治疗获得性免疫缺陷综合征合并肝脓肿的疗效及安全性评价[J/CD].中华实验和临床感染病杂志:电子版, 2017, 11 (3) :277-281.
    [22]KHAN R, HAMID S, ABID S, et al.Predictive factors for early aspiration in liver abscess[J].World J Gastroenterol, 2008, 14 (13) :2089.
    [23]LIU Q, WANG YJ, CAO F, et al.Percutaneous and surgical treament of liver abscesses[J].Clin J Curr Adv Gen Surg, 2010, 13 (2) :115-117. (in Chinese) 刘强, 王亚军, 曹锋, 等.细菌性肝脓肿经皮穿刺与手术治疗疗效的比较[J].中国现代普通外科进展, 2010, 13 (2) :115-117.
    [24] ZHANG J, JIANG TA.Clinical application of ultrasound-guided catheter drainage in liver abscess[J].Chin J Clin Infect Dis, 2009, 2 (2) :114-115. (in Chinese) 章瑾, 蒋天安.超声引导穿刺置管引流术在肝脓肿治疗中的临床应用[J].中华临床感染病杂志, 2009, 2 (2) :114-115.
    [25]ZHAO Y, WANG MF, ZHANG YS, et al.Clinical effect of ultrasound-guided percutaneous transhepatic puncture and catheter drainage in treatment of pyogenic liver abscess:an analysis of 36 cases[J].Chin J Pract Surg, 2011 (2) :167. (in Chinese) 赵宇, 王墨飞, 张远石, 等.超声引导经皮肝穿刺置管引流治疗细菌性肝脓肿36例分析[J].中国实用外科杂志, 2011 (2) :167.
    [26] ZHANG XP, CHEN Y, YANG H, et al.Diagnosis and surgical treatment of bacteria liver abscess:a report of 98 cases[J].J Chin Med Surg, 2007, 3 (19) :1558-1560. (in Chinese) 张显平, 陈勇, 杨恒, 等.细菌性肝脓肿诊断和外科治疗 (附98例报告) [J].中华现代外科学杂志, 2007, 3 (19) :1558-1560.
    [27]HSIEH HF, CHEN TW, YU CY, et al.Aggressive hepatic resection for patients with pyogenic liver abscess and APACHE II score>or=15[J].Am J Surg, 2008, 196 (3) :346-350.
    [28]BEI YF.Clinical effect and feasibility of laparoscopic catheter drainage versus incision and drainage in treatment of liver abscess[J].Chin Hepatol, 2015, 20 (6) :499. (in Chinese) 贝云枫.腹腔镜下行肝脓肿置管引流和切开引流的疗效及可行性分析[J].肝脏, 2015, 20 (6) :499.
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  • 出版日期:  2018-03-20
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