脓肿

Objective To analyze the CT findings of celiac abscess in order to improve diagnostic level.

目的 分析腹腔脓肿的CT表现，进一步提高腹腔脓肿的CT诊断水平。

Objective To evaluate CT features of hepatic abscess and its pathologic basis.

目的：探讨肝脓肿的CT征象，提高肝脓肿的诊断正确率。

MRI is more sensitive than CT to distinguish the cerebritis stage from the capsule stage. Conclusion: MRI features of brain abscess were well corelated to the clinical stages and pathological changes. MRI is powerful in the determination of clinical stages of brain abscess.

脑脓肿的MRI特征与其临床分期及病理学变化的相关性较好，能更加准确、简便、迅速地区别脓肿的脑炎期和包膜形成期，可作为临床诊治脑脓肿的有力参考。

CONCLUSION摘要: DWI and ADC value are helpful to differentiate capsule formation stage of abscess from cystic/necrotic tumor, but not helpful to distinguish evolution stage/cerebritis stage of abscess from cystic/necrotic tumor.

结论摘要：DWI及ADC值有助于鉴别包膜期脑脓肿和坏死囊变脑转移瘤，对吸收期脑脓肿和坏死囊变脑转移瘤的鉴别诊断无明显意义。

METHODS摘要: Fourteen patients proved pathologically as brain abscess and 17 cystic/necrotic metastatic tumor underwent conventional MRI and DWI examinations. DWI signal and ADC value were evaluated in cerebritis stage, capsule formation stage, and evolution stage of brain abscess and compared with those of cystic/necrotic metastatic tumor. Chisquared test and t test were performed for statistic analysis.

方法摘要：病理及临床证实脑脓肿14例，坏死囊变脑转移瘤17例，经常规磁共振检查及弥散加权检查，在脑脓肿脑炎期、包膜期及吸收期进行弥散信号及ADC值的测量，并和坏死囊变脑转移瘤相比较，统计学分析采用χ2检验和t检验。

There were 10 males and 5 females, ranging in age from 2.5 to 82 years. Results The cause of descending cervical mediastinitis included odontogenic infection, suppurative tonsillitis, suppurative otitis media complicating Mouret abscess, pharyngeal injury by foreign body and esophageal perforation.

结果 颈性下行性纵隔脓肿的原因有：牙源性、急性扁桃体炎引起咽旁脓肿、胆脂瘤型中耳炎并发Mouret脓肿各2例，咽异物擦伤6例，食管穿孔3例。

Results (1) Osteitis and destruction of end-plate showed long T1 and long T2.(2) Anterior and lateral abscess had long T1 and long T2 presenting even and structure-less signal.(3) The intervertebral discs showed normal or only degeneration at the early stage, and destroyed at later stage.(4) With Gd-DTPA enhancement, fibrotic granulation around abscess and destroyed area was well demonstrated.(5) Abscess in the bone and/or paraspinal abscess, destruction of end-plate were the important evidence for early diagnosis.

结果 (1)椎体骨炎及终板破坏呈长T1长T2信号，(2)椎旁或椎前冷脓肿呈长T1长T2均匀无结构信号，且上下跨越范围较大，(3)早期椎间盘信号正常或只出现退变，晚期则被破坏，(4)Gd-DTPA增强扫描可清楚显示冷脓肿周围纤维肉芽组织及椎管内侵犯，(5)骨内小脓肿和/或椎旁脓肿、椎体终板破坏是MRI诊断早期脊柱结核的重要依据。

The abscesses were classified into there broad categories:(1) multiple small abscesses less than 20mm(7patients),(2)unilocular abscesses (14 patients),and(3)complex or multiseprated abscesses(5 patients).

脓肿直径＜20mm多发小脓肿7例，单发脓肿14例，复杂多间隔脓肿5例。作者认为脓肿内积气、＂簇状征＂和＂双靶征＂为肝脓肿特征性表现。

In this serises,21 cases had facial paralysis,19 cases with suppurative labyrinthitis.3 cases with meningitis, 17 cases with periauricular abscess, 17 cases with postauricular fistula,4 cases with otogenic meningitis brain absess, 2 cases with lesion of sigmoid sinus and,1 cases with influence under temporalis,1 case with neck abscess,I case with mandible arthritis.

结果74例患者中单项并发症者62例(83.8%)，2项并发症者12例(16.2%)，并发症总计86例次：其中周围性面瘫21例次(24.4%)，迷路炎19例次(22.1%)，脑膜炎3例次(3.5%)，耳后骨膜下脓肿17例次(19.8%)，耳后瘘管17例次(19.8%)，脑脓肿4例次(4.7%)，乙状窦病变2例次(2.3%)，颞肌下感染1例次(1.2%)，颈部脓肿1例次(1.2%)，下颌关节炎1例次(1.2%)。

Pathogeny, main clinical manifestations, diagnosis, treatment and differential diagnosis of bacterial liver abscess ; surgical treatment of amebic liver abscess and main differential points between bacterial liver abscess and amebic liver abscess.

细菌性肝脓肿的致病原因，主要临床表现，诊断与治疗，细菌性肝脓肿的鉴别诊断，阿米巴肝脓肿的外科治疗以及细菌性肝脓肿与阿米巴肝脓肿的鉴别要点。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。