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頁籤選單縮合
題名 | Conservative Treatment of Intra-Abdominal Abscess in Children=孩童腹腔內膿瘍的保守性療性 |
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作 者 | 李峻銘; 李宏昌; 楊文理; 許錦城; 張北葉; 王念陸; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 39:5 民87.09-10 |
頁次 | 頁301-305 |
分類號 | 417.6249、417.6249 |
關鍵詞 | 腹腔內膿瘍; 保守性療法; 孩童; Intra-abdominal abscess; Conservative treatment; Children; |
語文 | 英文(English) |
中文摘要 | 從1993年7月至1996年6月三年期間,台北馬偕醫院小兒科共有53個18歲以 下的孩童,以超音波診斷為腹腔內膿瘍且臨床不甚危急者來作一回溯性的研究。追蹤其保守 性治療的病程,及一系列的超音波研究,其中42個(佔79.3%)病人對抗生素治療就有很好的 效果,而無需任何引流處置。其他11個病人因病情惡化而施行手術治療。 成功的病例中,膿瘍慢慢縮小到完全消失平均是27.9天。平均抗生素使用的時間是23.6 天(其中包含靜脈注射平均12.2天,後口服至膿瘍完全消失平均11.4天)。腹腔內膿瘍再發 有3個病人(佔5.7%)。我們的經驗可知,孩童腹腔內膿瘍的處理,若以超音波作嚴密的追蹤, 是可以成功地只以適當地抗生素治療,但當情況惡化或無明顯改善,則仍應考慮外科引流。 |
英文摘要 | Fifty-three children under 18 years of age with sonogram-proved intra-abdominal abscess (IAA) were seen between July 1993 and June 1996 at the Department of Pediatrics of the Mackay Memorial Hospital, then were studied retrospectively. Following a course of conservative treatment and follow-up with serial sonographic studies, 42 (79.3%) patients responded favourably to antibiotics treatment without drainage procedure. The other 11 patients' condition deteriorated, and surgical intervention was performed. The gradual shrinkage and completely resolved periods of the abscesses averaged 27.9 days. The average duration of antibiotic treatment was 23.6 days, intravenously for average 12.2 days followed by oral treatment until the abscess was completely resolved (average 11.4 days). The intra-abdominal abscess recurred in 3 (5.7%) patients. The experience demonstrates that pediatric patients with an intra-abdominal abscess must be followed closely by sonography, and they can be managed successfully with appropriate antibiotics alone. Surgical intervention is still needed if symptoms and signs persist or deteriorate. |
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