隐源性肝脓肿临床特点分析

将我院118例细菌性肝脓肿按照病因分为隐源性肝脓肿（PLAC）组54例、胆源性肝脓肿组48例、血源性肝脓肿组16例,比较分析其临床特点.结果显示,PLAC发病年龄较轻,3组患者在临床表现及体征上差异无统计学意义.与胆源性肝脓肿组相比,PLAC组脓肿以右半肝多见（74.1％比54.2％,P＜O.05）,合并糖尿病者更多（40.7％比20.8％,P＜0.05）,合并非胆源性恶性肿瘤及慢性肝病者少见（分别为1.7％比18.7％、0比10.4％,均p＜0.05）,碱性磷酸酶升高率较低（11.1％比35.4％,P＜O.01）.细菌学特点上,PLAC组仍以肺炎克雷伯菌为主.3组在治疗方式、抗生素的疗程、住院天数、入院到确诊的时问上差异无统计学意义（P＞0.05）.

Clinical manifestations of pyogenic liver abscesses of cryptogenic origin

Total 118 patients with pyogenic liver abscess admitted to Zhongshan Hospital were classified into pypgenic liver abscesses of cryptogenic origin （PLAC,n =54）,pyogenic liver abscesses of biliary origin （PLAB,n =48） and pyogenic liver abscesses of hemagenous origin （PLAH,n =16）according to the causes.The clinical features of three groups were compared and analyzed.The results showed that no statistically significant difference existed among three groups in clinical manifestation and signs.Compared to PLAB,the abscesses in right lobe of liver were more common in PLAC,diabetes mellitus was more prevalent in PLAC,but the co-existing diseases including chronic liver disease,non biliary malignant tumor and ALP elevation were less in PLAC.Klebsiella pneumoniae was frequently detected in PLAC,but there was no significant difference comparing to other two groups.No significant difference was found among three groups in the choice of therapeutic methods,the course of antibiotics,length of hospital stay and the days from admission to diagnosis.