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題名 | Ultrasound-Guided Percutaneous Drainage of Liver Abscess in Children=兒童肝膿瘍以超音波導引經皮引流處理 |
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作者姓名(中文) | 倪衍玄; 張美惠; 許宏遠; 李慶雲; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 36:5 民84.09-10 |
頁次 | 頁336-341+388 |
分類號 | 417.545 |
關鍵詞 | 超音波導引經皮引流; 肝膿瘍; Ultrasound-guided percutaneous drainage; Liver abscess; |
語文 | 英文(English) |
中文摘要 | 本研究目的在了解使用超音波導引經皮引流處理兒童肝膿瘍的有效性。有十個年齡從兩個月到二十二歲的病人參加本研究。每個病人均以超音波導引經皮引流加上抗生素爲治療首選。但若有特殊情況,則以他法取代。我們共有六個病人接受此法治療而有四人未作此法。超音波導引經皮引流是在靜脈麻醉下進行,一般並在引流後留置一導管繼續引流。病人在引流之後一至六天內均會退燒,但膿瘍之完全癒合就比較慢。以此法治療失敗有兩例,可能肇因於膿瘍太大而必須採行外科引流,採用此法成功的病例住院時間較短且較快退燒。本病預後甚佳,無人死於本病或本治療法。十人中有七人本來就有其他疾病,尤其是血液疾病使他們易罹患肝膿瘍。結論:正確的引流是肝膿瘍治療的不二法門而超音波導引經皮引流爲其首選。 |
英文摘要 | This study's purpose was to investigate the effectiveness of ultrasound-guided percutaneous drainage (US-PD) as treatment modality for pediatric pyogenic liver abscess when compared with other modalities. Ten consecutive patients, aged from 2 months to 22 years, were enrolled in this study. In addition to antibiotics, US-PD was attempted in each case unless the procedure was judged unsuitable. Six patients were treated with US-PD while four were not, for various reasons. US-PD was performed under an intravenous anesthesia and with the aid of real-time sonography. An indwelling pigtail catheter was usually inserted during US-PD. Fever subsided within one to six days, but the abscess cavity closed later. Failure to respond to US-PD may relate to the huge size of abscess cavity; surgical drainage provides an option. A trend toward a short hospital stay and defervescence day was found in the US-PD group than in the non-US-PD group. Prognosis was generally good and none in this series died of this disease or the procedure. Klebsiella pneumoniae was the pathogen most frequently encountered. Seven of the ten patients had underlying disease, and hemoglobinopathy was frequently associated. In conclusion, adequate drainage is recommended as the most effective treatment modality for pediatric liver abscess, and US-PD is the first choice. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。