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Comparison between pyogenic liver abscess caused by Klebsiella pneumoniae and non- Klebsiella pneumoniae
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- Author:
- No author available
- Journal Title:
- WORLD CHINESE JOURNAL OF DIGESTOLOGY
- Issue:
- 16
- DOI:
- 10.3969/j.issn.1009-3079.2006.16.008
- Key Word:
- 肺炎克雷伯杆菌;非肺炎克雷伯杆菌;细菌性肝脓肿;临床比较
Abstract： 目的:总结分析肺炎克雷伯杆菌肝脓肿与非肺炎克雷伯杆菌肝脓肿在临床方面的差异,为临床医生早诊断、早治疗提供依据.方法:总结2000-01/2005-01细菌性肝脓肿住院患者162例,利用统计学方法比较肺炎克雷伯杆菌与非肺炎克雷伯杆菌引起的肝脓肿在自然情况、伴发基础疾病、临床表现及实验室检查、肝脓肿特点、治疗方法及结果等方面的差异.结果:肺炎克雷伯杆菌肝脓肿112例(69.1%),非肺炎克雷伯杆菌肝脓肿50例(30.9%),两组在年龄上存在统计学差异(P＜0.05);两组患者在伴发糖尿病(66.1% vs 38.0%,P＜0.01)、胆道疾患(14.3% vs 28.0%,P＜0.05)、腹部创伤(5.4% vs 16.0%,P＜0.05)上存在统计学差异;两组患者在贫血上存在统计学差异(60.7% vs 78%,P＜0.05).肺炎克雷伯杆菌肝脓肿多为单发脓肿,且多为单一病原体,两组间存在统计学差异(75.9% vs 58%,P＜0.05;85.7% vs 64%,P＜0.01).两组间在迁徙性感染、死亡率上存在统计学差异(20.5% vs 6%,P＜0.05;8.9% vs 26.0%,P＜0.01).结论:与非肺炎克雷伯杆菌肝脓肿组相比,肺炎克雷伯杆菌肝脓肿组发病年龄较低,伴发糖尿病的比例高,多为单发,单病原体,易形成迁徙性感染,死亡率较低.
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