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題 名 | Pyogenic Psoas Abscess: Analysis of 27 Cases=腰肌膿瘍:27病例之分析 |
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作 者 | 林明鋒; 劉有增; 胡伯賢; 施智源; 林育蕙; | 書刊名 | 微免與感染雜誌 |
卷 期 | 32:4 1999.12[民88.12] |
頁 次 | 頁261-268 |
分類號 | 415.15 |
關鍵詞 | 腰肌膿瘍; Psoas abscess; |
語 文 | 英文(English) |
中文摘要 | 自1993至1998年,臺中榮民總醫院共出現29個腰肌膿瘍於27位病患身上。我們回溯研究其病歷,發現他們的年齡在25到85歲之間。糖尿病是主要的潛在疾病。常見的臨床表徵有發燒,腰痛,背痛及臀關節疼痛。症狀持續的時間自3天到6個月不等。多數膿瘍藉助電腦層來診斷,並由細菌培養來證實。腰肌膿瘍可分為原發性及次發性。其中29個膿瘍中,有18個是原發性。金黃色葡萄球菌是最常見的致病菌,然後依序是無乳鏈球菌、大腸桿菌、草綠色鏈球菌、表皮葡萄球菌及沙門氏菌。而次發性膿瘍中,大腸桿菌最多。然後依序是金黃色葡萄球菌、克雷白氏菌、草綠色鏈球菌及白色念珠菌。所伴隨的臨床狀況包括硬膜上膿瘍,骨髓炎,敗血性關節炎,腎旁膿瘍,肺結核,膿胸,腎水腫及創傷。起初的抗生素治療多為cefazolin或oxacillin,可併用aminoglycoside.有13位病患接受經皮引流術,而有6位病患接受手術擴創,1位兩者都做,其餘只接受內科治療,有2位原發性膿瘍病患雖接受經皮引流術但仍死亡。故對複雜的腰肌膿瘍而言,除了適當的抗生素,手術引流仍有其必要性。 |
英文摘要 | From 1993 to 1998, 29 pyogenic psoas abscesses occurring in 27 patients were seen in Taichung Veterans General Hospital. Their age range was 25 to 85 years. Diabetes mellitus was the leading underlying disease. Fevere and pain in the flank area, back and hip were the usual manifestations. The duration of symptoms prior to the diagnosis ranged from 3 days to 6 months. Most abscesses were diagnosed by computed tomography (CT) images and proven by abscess cultures, which were divided into primary and secondary types. Eighteen of 29 abscesses were regarded as primary. Staphylococcus aureus was the most common pathogen in the primary abscesses, followed by streptococcus agalactiae, Escherichia coli, viridans streptococci, S. epidermidis, and Salmonella spp.. In the secondary abscess category, E. coli was the leading organism in this series, followed by S. aureus, Klebsiella pneumoniae, viridans streptococci and Candida albicans. The associated conditions included epidural abscess, osteomyelitis, septic arthritis, perirenal abscess, pulmonary tuberculosis, empyema, hydronephrosis and trauma history. The initial empiric therapy comprised mostly of cefazolin or oxacillin with or without an aminoglycoside. Thirteen patients underwent percutaneous drainage, while six received surgical debridement, including two with a recurrent abscess. One patient had both drainage and debridement. Others received medical treatment only. Two of the patients with primary abscess died in spite of percutaneous drainage. Therefore, open drainage, besides appropriate antibiotic treatment, is still required to control complex abscesses with sepsis. |
本系統中英文摘要資訊取自各篇刊載內容。