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回顾性分析46例糖尿病并发肝脓肿病例的临床资料。结果:肝脓肿好发于血糖控制不良的2型DM病人,以右叶多发,缺乏典型的临床表现。胆囊炎、胆石症是主要致病因素,诊断首选B超检查,综合治疗有效率高。结论:DM并发肝脓肿临床表现不典型,容易误诊、漏诊。采用控制感染,脓肿处理,控制血糖及营养支持的综合治疗有助于改善本病的预后。
Retrospective analysis of 46 cases of diabetic patients with liver abscess clinical data. Results: Abscesses occurred in type 2 diabetic patients with poor glycemic control. They often developed on the right lobe and lacked typical clinical manifestations. Cholecystitis, cholelithiasis is the main risk factors, the diagnosis of preferred B-ultrasound, comprehensive treatment of high efficiency. Conclusion: The clinical manifestations of DM complicated with liver abscess are not typical, easily misdiagnosed, missed diagnosis. The combination of infection control, abscess management, glycemic control, and nutritional support can help improve the prognosis of the disease.