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本文报道我院1971～1984年14年间收治小儿细菌性肝脓肿172例。年龄以6～12岁最多,计134例(77.9%)。病变位于右叶142例,左叶28例,左右叶均受累2例。应用A型超声诊断67例,B型超声94例。手术引流127例,术前均在超声监测下定位。强调超声诊断的重要性。全组治愈169例(98.3%),死亡3例(1.7%)。共作脓液细菌培养118例,其中113例有细菌生长,以金黄色葡萄球菌,白色葡萄球菌多见,大肠杆菌次之。
This article reports 172 cases of pediatric bacterial liver abscess treated in our hospital from 1971 to 1984 for 14 years. The oldest was 6 to 12 years old, accounting for 134 cases (77.9%). The lesions were located in the right lobe 142 cases, left lobe 28 cases, left and right leaves were involved in 2 cases. The application of type A ultrasound in 67 cases, 94 cases of type B ultrasound. 127 cases of surgical drainage, preoperative ultrasound positioning. Emphasize the importance of ultrasound diagnosis. The whole group cured 169 cases (98.3%), 3 patients died (1.7%). A total of 118 cases of bacterial culture of pus, of which 113 cases of bacterial growth, Staphylococcus aureus, Staphylococcus aureus more common, followed by E. coli.