【摘要】 目的　探讨老年细菌性肝脓肿的临床特点。　 方法 　对 1993年 1月～ 1999年 12月间收治的细菌性肝脓肿作回顾性研究 ,比较老年组和中青年组患者的临床特点。　 结果 　与中青年组比较 ,老年组伴有胸水(87 5 %vs 45 8% )、腹水 (37 5 %vs 8 3 % )、大脓腔 (10 0 %vs 6 6 7% )、胆道疾病 (5 6 3 %vs 2 9 2 % )、糖尿病 (37 5 %vs 4 2 % )的比例显著升高 ,而血浆白蛋白 [(2 8 1± 6 0 )g·L-1vs (33 4± 4 8)g·L-1]、血红蛋白 [(95 2± 2 2 5 )g·L-1vs (99 7± 17 0 )g·L-1]水平明显下降。使用抗生素 (10例 )和经肝抽脓术 (4例 )占治疗总数的 87 5 %。治疗总有效率为 93 8%。　 结论 　老年细菌性肝脓肿的发生与胆道疾病、糖尿病有关。抗生素和经肝抽脓术是本病的主要治疗手段。伴有严重贫血、低蛋白血症的患者应予积极纠正。更多还原

【Abstract】 Objective The aim of this study is investigate clinical characteristics of pyogenic liver abscess in the aged. Methods A retrospective study was performed on all patients admittal to our hospital from 1993 to 1999.Clinical characteristics were compared between the youny and aged group. Results Pleural effusion(87 5% vs 45 8%),ascites(37 5% vs 8 3%),gaint pyogenic abscess(100% vs 66 7%),biliary diseases(56 3% vs 29 2%),diabetes mellitus(37 5% vs 4 2%)were more frequently observed in the aged group than in the young group.But serum albumin[(28 1±6 0)g·L -1 vs (33 4±4 8)g·L -1 ]and hemoglobin[(95 2±22 5)g·L -1 vs (99 7±17 0)g·L -1 ]level were more significantly reduced in the aged group than in the young group.14 patients were treated with broad-spectrum antibiotics and percutaneous aspiration(87 5%).A total efficacy rate of 93 8% was obtained. Conclusions Biliary diseases and diabetes mellitus are the primary causes of pyogenic liver absess in the elderly.Antibiotics combined with percutaneous aspiration is the main methods for therapy.Severe anemia and low serum albumin shoud be corrected.更多还原