胡岚,王鹤,王超,齐文杰

• 1:首都医科大学附属北京友谊医院

摘要(Abstract)：

目的通过回顾性研究,探讨肝脓肿患者的临床症状、体征、病原学分布、辅助检查的特点,以及中医舌象、脉象表现,以提高诊治水平。方法回顾性分析2007年1月至2017年12月北京友谊医院感染内科收治的76例肝脓肿患者的临床资料,包括临床症状、体征、辅助检查、中医舌质、舌苔、脉象特点。结果在本研究中男性患者55例,28例患者合并糖尿病,23例患者合并胆囊炎;72例患者临床表现以发热为主,右上腹痛33例;致病菌以肺炎克雷白菌为主(包括血培养及脓液培养阳性),占全部病例的57.89%;初期舌质红:红绛舌43.42%,淡红舌31.58%;舌苔偏黄燥:黄苔44.74%、苔燥19.74%;脉象弦数:其中以数脉(52.63%)最为常见,其次为弦脉43.42%,滑脉39.47%。治疗以全身应用抗菌药物结合超声引导下肝脓肿穿刺作为肝脓肿首选治疗方法。治疗有效率为98.68%。结论在收集的76例患者中肝脓肿以男性多发,病原学以肺炎克雷白菌最常见,症状主要为发热、右上腹痛等,糖尿病是发病的主要危险因素。发病初期中医舌象脉象方面,舌质以红绛舌及淡红舌为常见、舌苔以黄苔、苔燥为常见、脉象以数,弦、滑为常见。

关键词(KeyWords)： 肝脓肿;合并症;病原菌;舌象;脉象

Abstract:

Keywords:

基金项目(Foundation): 首都卫生发展科研专项(首发2016-3-2023)

作者(Author): 胡岚,王鹤,王超,齐文杰

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