【摘要】 目的 总结分析糖尿病合并细菌性肝脓肿(DLA)的临床特点，并探讨其诊疗策略。 方法 对19例糖尿病 合并细菌性肝脓肿(DLA)患者的临床资料进行回顾性归纳分析。 结果 19例DLA均为2型糖尿病患者，临床表现不典 型，明显腹痛并不常见(26.3%)，普遍存在肝功能损害，细菌培养阳性率低(36.8%)，主要为肺炎克雷伯杆菌和大肠杆菌。 治疗中18例康复，治疗总有效率达94.7%。 结论 糖尿病合并细菌性肝脓肿临床表现复杂，易漏诊误诊。在治疗DLA 时，控制血糖和控制感染并重。早期诊断、胰岛素控制血糖、早期足量应用有效抗生素及适时脓肿引流是成功治疗的关键。

    【关键词】 糖尿病;细菌性肝脓肿;糖尿病合并细菌性肝脓肿;诊断;治疗

    The diagnosis and treatment of bacterial liver abscess in diabetics:clinical a-nalysis of 19 cases

    WANG Yong-di，SONG Zhen-he，GAO Xiao-zhong.

    Department of Endocrinology，The Weihai Municipal Hos- pital，Weihai 264200，China

    【Abstract】 Objective To investigate the clinical characteristics and therapeutic strategy of bacterial liver ab- scess in diabetics(DLA). Methods 19 cases of DLA were retrospectively reviewed. Results 19 cases of DLA were all type 2 diabetes mellitus，and 12 of them were males.Clinical features of this disorder were atypical，the occurrence of the right upper abdominal pain was not common，however the hepatic dysfunction did often hap- pen.The positive rate of bacteria cultivation in blood，puncture fluids and other sources was lower(36.8%). Klebsiella pneumoniae and Escherichia coli were the major pathogens in DLA.Among 19 cases ......