糖尿病并发细菌性肝脓肿10例临床分析

目的:探讨糖尿病合并细菌性肝脓肿的临床表现,诊断和治疗要点.方法:回顾性分析糖尿病并发肝脓肿10例.结果:糖尿病并发肝脓肿多发生于右叶.好发于血糖控制不良的中老年2型糖尿病病人,胆囊炎,胆结石是主要诱因,细菌培养阳性率较低.诊断首选B超.治疗方法为B超引导下肝穿刺置管引流,同时使用有效抗生素,用胰岛素控制血糖.经内外科治疗10例均临床痊愈.结论:糖尿病合并肝脓肿临床表现不典型,诊断较困难.对糖尿病伴有发热者应高度重视.控制血糖,及时治疗胆道感染是预防本病发生的重要措施.

Clinical analysis of 10 cases of diabetes mellitus with bacteriogenic liver abscesses

Objective To discuss the clinical features, diagnosis and treatment of diabete mellitus (T2DM) with bacteriogenic liver abscesses. Methods To retrospectively analyse 10 cases of T2DM with liver abscesses. Results Among the 10 cases,predilection for right liver was found.Cholecystitis and gallstone were the main causes of this disorder.Abdominal B-ultrasonography was the first selected method in the diagnosis.The methods of treatment were drainage and aspirations of liver adscesses by B-ultrasonography guiding,with the effective antibiotic and insulin.Conclusion Clinical features of DM with liver abscesses are typical,the diagnosis is difficult.We should pay attention to patients suffered from DM with fever. It is necessary to control fast blood glucose and treat infection of biliary tract promptly.