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相關文獻
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題 名 | Splenic Abscess: An Analysis of 13 Patients=脾膿瘍:13病例分析 |
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作 者 | 翁明章; 張峰義; | 書刊名 | 中華民國感染症醫學會雜誌 |
卷 期 | 8:1 1997.06[民86.06] |
頁 次 | 頁58-62 |
分類號 | 415.649 |
關鍵詞 | 脾膿瘍; Splenic abscess; Diabetes mellitus; Leukemia; |
語 文 | 英文(English) |
中文摘要 | 在10年期間,本院共有13例脾膿瘍的病例。年齡從24到81歲,男女各有7及6位。糖尿病及白血病是主要的前置疾病。大腸桿菌、沙門氏菌及念珠菌為主要的致病菌。常見的臨床表徵有發燒、畏寒,左上腹疼痛及脾腫大。所有的病灶均由超音波或電腦斷層所發現,8位病人有單一膿瘍,其他5位病患有多發膿瘍,大多數的膿瘍大於三公分。有9位病患存活(69%),4位病患死亡(31%)。3位只接受抗生素治療的病患均死亡;4位接受膿瘍引流合併抗生素治療的病患全部存活;6位接受脾臟切除及抗生素治療的病患中有1位死亡。 |
英文摘要 | From January 1986 to March 1996, the medical records of 13 adults with splenic abscess who were admitted to the Tri-Service General Hospital were analyzed retrospectively. Their ages ranged from 24 to 81 years. Diabetes mellitus and acute leukemia were the leading underlying diseases. Escherichia coli (n=4), Salmonella sp. (n=2) and Candida sp. (n=2) were frequently isolated. Fever, chills, left upper abdominal quadrant pain and splenomegaly were the major manifestations. Leukocytosis was also common. All of the lesions were found by ultrasonography or computed tomography. Solitary lesions were found in 8 patients and multiple lesions were depicted in the other 5. Most of the abscesses had a size of > 3cm in diameter. Nine patients survived (69﹪) and 4 died (31﹪). All of the 3 patients who received antimicrobial treatment alone died. All of the 4 patients who underwent percutaneous drainage guided by computed tomography combined with antibiotics survived. Five out of 6 patients survived after splenectomy and antimicrobial therapy. |
本系統中英文摘要資訊取自各篇刊載內容。