查詢結果分析
相關文獻
- Splenic Abscesses: Review of 29 Cases
- 二氧化碳顯影電腦斷層與二氧化碳顯影超音波於肝臟腫瘤之比較
- Ultrasonography and Computed Tomography Presentation of an Ileocecal Duplication Cyst: Report of a Case
- Renal Angiomyolipoma: A Case Report
- Evaluation of Gallstones by Ultrasonography, Oral Cholecystography and Computed Tomography
- Giant Right Atrial Blood Cyst--A Case Report
- Intra-abdominal Desmoplastic Small Cell Tumor: CT and Ultrasound Images
- 主動脈剝離之診斷及治療
- Primary Liposarcoma of the Greater Omentum: Report of a Case
- Isolated Ileum Submucosal Lipoma Induced Intermittent Ileo-ileo-colic Intussusception: Report of a Case
頁籤選單縮合
題名 | Splenic Abscesses: Review of 29 Cases=脾臟膿腫--29例病歷回顧 |
---|---|
作者姓名(中文) | 蔣宜勳; 林增記; 蔣宜璋; 蔡米山; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 19:10 2003.10[民92.10] |
頁次 | 頁510-515 |
分類號 | 415.649 |
關鍵詞 | 脾臟膿腫; 超音波; 電腦斷層; 治療法; Splenic abscess; Ultrasonography; Computerized tomography; Treatment; |
語文 | 英文(English) |
中文摘要 | 脾臟膿腫是非常罕見且對生命具有威脅性的疾病。由於不特定的臨床表現,至今此疾病仍是個富有挑戰性的診斷。本文收集了自 1990?001 年間共 29 例脾臟膿腫的病例。當病患有發燒、左上腹痛和白血球增多時,就必須懷疑為脾臟膿腫。診斷大部份是依據影像的研究,及微生物學和/或病理學證據,或經由對抗生素以及抗黴菌治療的反應。在所有病例中,男性 18 位 (62%) 女性 11 位 (38%),年齡 4-85 歲,平均年齡 44 歲,5 位為兒童病患 (17%)。最常見到的徵候和症狀有發燒 (90%)、畏寒 (41%)、腹部疼痛 (31%) 和白血球增多 (38%)。有 27 位超音波檢查呈陽性反應(93%),26 位病患 (90%) 做電腦斷層掃瞄或磁共振造影結果都是陽性 (100%)。其中單獨膿腫 21 例(72%),多發性膿腫 8 例 (28%)。只有 7 位血液培養呈陽性(24%)。在全球文獻中,脾臟切除術仍是治療脾臟膿腫的優先選擇方式。然而在我們僅使用抗生素治療脾臟膿腫成功率達 75% 的研究中,對部分不適合脾臟切除術或經皮引流術的病患,抗生素療法是可被視為另一項可行的選擇。 |
英文摘要 | Splenic abscess is an unusual and potentially life-threatening disease. Due to the nonspecific clinical picture, it remains a diagnostic challenge. Splenic abscess should be suspected in febrile patients with left upper quadrant tenderness and leukocytosis, and diagnosis confirmed based mostly on imaging studies, microbiologic and/or pathologic evidence, or by response to antibiotic or antifungal treatment. We present 29 cases of splenic abscess treated in our hospital from 1990 to 2001. There were 18 male patients (62%) and 11 female patients (38%). Ages ranged from 4 to 85 years, with a median of 44 years. There were five pediatric patients (17%) and 24 adults (83%). The most common associated condition was leukemia. Most patients were immunocompromised (72%). The more common signs and symptoms were fever (90%), chills (41%), abdominal pain (31%), and leukocytosis (38%). Ultrasonography of the abdominal cavity was positive in 27 cases (93%); computerized tomography or magnetic resonance imaging was used in 26 patients (90%) and was positive in all patients. The abscess was solitary in 21 cases (72%) and multiple in eight cases (28%). Positive blood cultures were found in only seven patients (24%). According to the literature, the treatment of choice is still splenectomy, but in our study, the success rate of 75% with antibiotics alone indicates that antibiotic therapy should be considered an important alternative treatment modality in patients not suitable for percutaneous drainage and splenectomy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。