细菌性肝脓肿伴发的基础疾病与预后相关性分析

肝脏 ›› 2021, Vol. 26 ›› Issue (2): 192-194.

细菌性肝脓肿伴发的基础疾病与预后相关性分析

张燕, 陈北方, 朱晓红, 刘妲妲, 王建斌, 董晓锋, 梁栋

450042 河南郑州联勤保障部队第九八八医院感染科(张燕,朱晓红,刘妲妲,王建斌,董晓锋,梁栋),检验科(陈北方)

收稿日期:2020-03-19 出版日期:2021-02-28 发布日期:2021-03-28
通讯作者: 梁栋,Email:324256854@qq.com

Analysis of the relationship between basic diseases and prognosis of pyogenic liver abscess

ZHANG Yan, CHEN Bei-fang, ZHU Xiao-hong, LIU Da-da, WANG Jian-bin, DONG Xiao-feng, LIANG Dong

The NO.988 Hospital of Joint Logistic Support Force

Received:2020-03-19 Online:2021-02-28 Published:2021-03-28
Contact: LIANG Dong,Email:324256854@qq.com

摘要/Abstract

摘要： 目的分析探讨细菌性肝脓肿(pyogenic liver abscess,PLA)患者伴发的基础疾病与预后关系。方法选取2015年1月至2020年1月联勤保障部队第九八八医院收治的PLA患者153例为研究对象,依据伴发的基础疾病分为A组(糖尿病组)、B组(胆源性组)、C组(糖尿病+胆源性组)、D组(其他因素)进行回顾性研究,以了解其与预后的相关性。结果 A组和D组致病菌以肺炎克雷伯杆菌和革兰氏阳性菌为主,病灶多单发,预后较好;B组和C组因胆源性因素,以大肠埃希菌为主,病灶常多发,预后较差,差异均有统计学意义(P<0.05)。结论患者发生PLA时,详细了解伴发基础疾病的状态,有助于治疗方案的制定及预后判断。

关键词: 肝脓肿, 基础疾病, 糖尿病, 胆道疾病, 预后相关性

Abstract: Objective To analyze the relationship between basic diseases and prognosis in patients with pyogenic liver abscess (PLA).Methods One hundred and fifty-three patients with PLA admitted to the NO.988 Hospital of Joint Logistic Support Force from January 2015 to January 2020 were selected as the research objects. According to the associated basic diseases, they were divided into group A (diabetes group), group B (biliary group), group C (diabetes + biliary group) and group D (other factors) for retrospective study to understand the correlation between them and prognosis. Results Klebsiella pneumoniae and Gram-positive bacteria were the main pathogens in group A and group D, the focus was single and the prognosis was better; group B and group C were mainly E.coli due to biliary factors, the focus was often multiple and the prognosis was poor, the difference was statistically significant (P<0.05).Conclusion When PLA occurs, it is helpful to know the state of basic diseases in detail, to make treatment plan and to judge prognosis.

Key words: Pyogenic liver abscess, Basic disease, Diabetes mellitus, Biliary disease, Prognosis correlation

张燕, 陈北方, 朱晓红, 刘妲妲, 王建斌, 董晓锋, 梁栋. 细菌性肝脓肿伴发的基础疾病与预后相关性分析[J]. 肝脏, 2021, 26(2): 192-194.

ZHANG Yan, CHEN Bei-fang, ZHU Xiao-hong, LIU Da-da, WANG Jian-bin, DONG Xiao-feng, LIANG Dong. Analysis of the relationship between basic diseases and prognosis of pyogenic liver abscess[J]. Chinese Hepatolgy, 2021, 26(2): 192-194.

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