【摘要】 目的　探讨老年2型糖尿病(DM)并发肝脓肿的临床特点。方法　回顾性分析 15 例老年 DM并发肝脓肿病例,并与同期中青年组患者进行比较。结果　与中青年组比较,老年 DM并发肝脓肿好发于 2 型 DM患者,血糖控制不理想,胆道疾病为主要病因(60.0% 与 6.7%),临床症状不典型,脓腔较大(100% 与 60.0%)。而血浆白蛋白[(28.25±6.82) g/L 与(33.9 ±6.40) g/L ],血红蛋白[(96.3±20.5) g/L 与 (111.9±20.1) g/L ] 水平明显较低。治疗总有效率为93.3%。结论　早期诊断是改善本病预后的关键。治疗应以控制感染、脓肿处理为主,兼顾血糖控制及营养支持治疗。更多还原

【Abstract】 ObjectiveTo summarize the clinical characteristics of geriatric diabetes mellitus (DM) complicated with liver abscess.MethodsFifteen cases of geriatric DM with liver abscess were analyzed retrospectively.Clinical characteristics were compared between young and elderly group.ResultsType 2 DM,unsatisfied control of blood sugar,billiary tract disease ( 60.0% vs 6.7%),atypical clinical feature,and larger size of abscess cavity (100% vs 60.0%) were more frequently observed in elderly group than in young group.Serum albumin [(28.25 ± 6.82) g/L vs (33.9 ± 6.40) g/L] and hemoglobin [(96.3 ± 20.5) g/L vs (111.9 ± 20.1) g/L] level were significantly lower in the former group.Antibiotic treatment was effective in 93.3% patients.ConclusionsEarly diagnosis was the key for better prognosis of this disorder.Treatment should be focused on anti-infection and managemesit of abscesses,as well as adequate control of blood sugar and supportive measures.更多还原