摘要
Twenty-four pyogenic liver abscesses have been treated during a six-year period percutaneously. Percutaneous management included percutaneous drainage and fine needle aspiration under ultrasound or CT scan guidance. Percutaneous management was successful in 92% of cases, and no further treatment was required in 91% of these. One patient died, giving a mortality rate of 4.1%. There were no complications related to this method. The authors conclude that percutaneous management of pyogenic liver abscesses should be attempted in all cases, since results compare favourably with surgical procedures.
延伸閱讀
- Loon, W. K., & Lee, H. C. (2005). Pyogenic Liver Abscess: Comparison between Single and Multiple Abscesses. 中華民國急救加護醫學會雜誌, 16(2), 47-54. https://doi.org/10.30018/JECCM.200506.0001
- Brotfain, E., Koyfman, L., Frenkel, A., Akiva, L., Ruslan, K., Zlotnik, A., & Klein, M. (2014). Successful Percutaneous Drainage of Large and Multiloculated Pyogenic Liver Abscesses in Critically Ill Patients. International Journal of Case Reports and Images (IJCRI), 5(1), 8-12. https://doi.org/10.5348/ijcri-2014-01-429-CS-2
- D'Amico, D. (1993). ANTIBIOTICS WITH PERCUTANEOUS ASPIRATION OR DRAINAGE FOR PYOGENIC LIVER ABSCESS. HPB Surgery, 1993(), 325-327. https://doi.org/10.1155/1993/71698
- Chen, T. Y., Chen, T. H., Ho, W. C., Lin, C. C., Lin, C. K., & Ho, L. C. (2003). A Clinical Study on Pyogenic Liver Abscess. 中山醫學雜誌, 14(4), 495-503. https://doi.org/10.30096/CSMJ.200312.0002
- ANDERSSON, R., FORSBERG, L., HEDERSTROM, E., HOCHBERGS, P., & BENGMARK, S. (1990). PERCUTANEOUS MANAGEMENT OF PYOGENIC HEPATIC ABSCESSES. HPB Surgery, 1990(), 185-188. https://doi.org/10.1155/1990/28345