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In congenital neutropenia, omphalitis immediately after birth may be the first sign; in untreated children diarrhea, pneumonia, and deep abscesses in the liver, lungs, and subcutaneous tissues are common in the first year of life. The cumulative risks at age 15 years of developing myelodysplasia syndrome or acute myelogenous leukemia are 36% and 25%, respectively.

刚出生时的脐炎可能是先天性嗜中性白细胞减少症的第一个征兆;在未经治疗的未足岁患儿中普遍存在痢疾、肺炎以及肝、肺和皮下组织的深度脓肿。15岁时脊髓发育不良综合症或急性髓细胞性白血病的累计患病风险分布为36%及25%。

Objective To study the causes and treatment of abscess formation in the liver parenchyma after HACE.

目的 探讨肝动脉化疗栓塞后正常肝实质并发脓肿的原因及治疗。

Results The abdominal drainage amount and reserved drainage tube time in group A was significantly lower than the group B(P<0.01) no subphrenic infection occurred in group A, but in group B 2 patients.The two groups had no cases of hepatic failure and death.

结果 应用创面封闭胶组腹腔引流量及留置引流管时间明显少于未应用创面胶组(P<0.01)。A组无膈下感染病例,B组发生2例膈下脓肿,两组中均无肝衰及死亡病例。

For the later 14 cases,five complications occurred,including acute reject reaction(1 case),hepatic artery thrombosis(1 case),bile leakage(1 case),left subphrenic abscess(1 case),and pulmonary infection(1 case).The patient with pulmonary infection died of MODS.14 patients underwent direct anastomosis of right hepatic vein and IVC.Among them,5 cases underwent the reconstructions of right inferior hepatic vein,and 5 received the reconstruction of the tributaries of the middle hepatic vein by interpositing a vein graft to provide sufficient venous outflow.

后14例受者中发生并发症5例:急性排斥反应,肝动脉栓塞,胆漏,左膈下脓肿及肺部感染各1例;1例再移植术后肺部感染死于MODS.14例中除肝右静脉与下腔静脉直接吻合外,其中5例加行右肝下静脉重建,另5例采用自体大隐静脉搭桥行肝中静脉分支与IVC重建,保证了右肝的流出道通畅。

For the later 14 cases, five compli- cations occurred, including acute reject reaction (1 case), hepatic artery thrombosis (1 case), bile leakage (1 case),left subphrenic abscess (1 case), and pulmonary infection (1 case). The patient with pulmonary infection died of MODS. 14 patients underwent direct anastomosis of right hepatic vein and IVC. Among them, 5 cases underwent the reconstructions of right inferior hepatic vein, and 5 received the reconstruction of the tributaries of the middle hepatic vein by interpositing a vein graft to provide sufficient venous outflow.

后14例受者中发生并发症5例:急性排斥反应,肝动脉栓塞,胆漏,左膈下脓肿及肺部感染各1例;1例再移植术后肺部感染死于MODS.14例中除肝右静脉与下腔静脉直接吻合外,其中5例加行右肝下静脉重建,另5例采用自体大隐静脉搭桥行肝中静脉分支与IVC重建,保证了右肝的流出道通畅。

ABSTRACT:Objective To investigate the value of real-time harmonic contrast-enhanced ultrasound in the diagnosis of atypical liver abscesses.

目的 探讨实时超声造影对不典型肝脓肿的诊断价值。

Methods:15 cases of DM complicated with hepatic abscesses were analyzed retrospectively.

随着诊疗技术的进步和临床认识的提高,糖尿病并发肝脓肿似有增多趋势。

Being familiar with the etiology, pathology, clinical manifestations, diagnosis, differential diagnosis and treatment of the bacterial liver abscess and amebic liver abscess .

熟悉细菌性及阿米巴性肝脓肿的病因,病理,临床表现,诊断,鉴别诊断和治疗。

Objective To amelioration therapeutic efficacy of amebic liver abscesses,therapy of234amebic liver abscesses drainage the pus with trochar puncture and catheter instillation wash were observed.

选择内蒙古通辽市人民医院普外科自1981~2001年收治的阿米巴性肝脓肿患者234例,全部采用B超定位经皮套管针穿刺排脓内置导管灌注冲洗治疗。

Among the 6 cases with dilated biliary tract, biliary sludge were seen in 4 cases(biliary stone existed simultaneously in 2 cases). Biloma were observed in 2 and the echogram of acute rejection was misdiagnosed as biliary sludge in one case.

结果:19例肝移植术后患者超声检查显示胆管弥漫性病变9例,胆管扩张的6例中有胆泥4例(2例伴胆管结石);将急性排斥反应误诊为胆泥1例;伴肝内胆汁脓肿2例。

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