现代医药卫生2024，Vol.40Issue(1)：35-38,4.DOI:10.3969/j.issn.1009-5519.2024.01.007
双重细菌性肝脓肿7例病原学和临床特点
Pathogenic and clinical characteristics of 7 cases of double bacterial hepatic abscess
摘要
Abstract
Objective To explore the pathogenic and clinical characteristics of 7 cases of double bacteri-al hepatic abscess.Methods The clinical data of 7 cases of double bacterial hepatic abscess treated in this hos-pital from January 2015 to December 2021 were analyzed retrospectively.The bacterial spectrum,clinical man-ifestations and complications were analyzed,and the clinical characteristics of double mixed bacterial hepatic abscess were summarized.Results In 7 cases of double mixed bacterial hepatic abscess,the age was 22.0-78.0 years old,the mean age was(58.9+17.7)years old,the mean hospital stay time was(15.6±10.9)d.Six cases(85.7％)were complicated with underlying disease and previous surgical history.Fever(71.4％)and abdominal pain(57.1％)were the main symptoms.Pneumonia and pleural effusion were the main complica-tions.The mean diameter of hepatic abscess was(6.1±3.2)cm,and all patients were cured by percutaneous puncture and drainage of hepatic abscess combined with antibiotics for anti-infection treatment.All patients had varied degree of liver function injury.The main pathogenic bacteria were Klebsiella pneumoniae and Esch-erichia coli.The proportions of cephalosporin and quinolone antibiotic resistance all were 57.1％(4/7),and carbopenem antibiotic resistance proportion was 28.6％(2/7).Conclusion Double mixed hepatic abscess usu-ally occurs in the elderly patients with complicating underlying disease and previous surgical history.Klebsiel-la pneumoniae and Escherichia coli are main pathogenic bacteria,moreover which are easy to have drug resist-ance.关键词
细菌性肝脓肿/病原学/临床特点Key words
Bacterial liver abscess/Etiology/Clinical characteristics分类
医药卫生引用本文复制引用
李智德,宋巍,马志刚,李玉鹏,田广磊,马超,陈雄..双重细菌性肝脓肿7例病原学和临床特点[J].现代医药卫生,2024,40(1):35-38,4.基金项目
新疆维吾尔自治区区域协同创新专项(上海合作组织科技伙伴计划及国际科技合作计划,ZYYD2023C09) （上海合作组织科技伙伴计划及国际科技合作计划,ZYYD2023C09）
新疆维吾尔自治区创新环境(人才、基地)建设专项(人才专项计划-天山创新团队,2021D14005) （人才、基地）
新疆维吾尔自治区人民医院院内项目(20220201 （）
20200214). （）
