细菌性肝脓肿的病因及诊治进展

发布时间：2018-06-27 09:21

本文选题：细菌性肝脓肿 + 病因　；参考：《重庆医科大学》2014年硕士论文

【摘要】：细菌性肝脓肿（pyogenic liver abscess，PLA）为严重的感染性疾病，如不能早期诊断和及时治疗，其死亡率高达80％-100％。近些年来，伴随着有效抗生素的应用，彩超、CT、MRI等影像学技术的进步，加之糖尿病等基础疾病的增加，其病因、诊断和治疗等均有所改变。胆道感染和血行感染是PLA的常见发病原因，近些年发现糖尿病是PLA最主要的发病高危因素，，致病菌以大肠埃希菌为主变化为以肺炎克雷伯杆菌为主。超声检查为PLA诊断及疗效评价首选的方法。随着影像学和介入技术的不断发展，治疗PLA的方法也发生了很大的变化，很多新方法被用于治疗PLA，目前的一线治疗方式为经皮肝穿刺介入治疗。
[Abstract]:Bacterial liver abscess (pyogenic liver) is a serious infectious disease. In recent years, with the application of effective antibiotics, the progress of imaging techniques such as color Doppler imaging, and the increase of diabetes and other basic diseases, its etiology, diagnosis and treatment have changed. Biliary tract infection and blood infection are the common causes of PLA. In recent years, diabetes mellitus is the most important risk factor for PLA, and Escherichia coli is the main pathogenic bacteria, and Klebsiella pneumoniae is the main pathogen. Ultrasound is the first choice for the diagnosis and evaluation of PLA. With the development of imaging and interventional techniques, great changes have taken place in the treatment of PLA. Many new methods have been used to treat PLA.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R575.4

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