B ultrasound-guided liver biopsy treated 30 cases of liver abscess in children.docVIP

 PAGE \* MERGEFORMAT 6 B ultrasound-guided liver biopsy treated 30 cases of liver abscess in children [Keywords:] liver abscess pediatric liver biopsy ultrasound Previous treatment of liver abscess, antibiotic therapy commonly used, but forgt; 3 cm abscess is a long course of treatment, high mortality, up to 9.4%, such as the use of surgical drainage, then for children with trauma. Our hospital since 2005 January ~ June 2007, using the B-guided liver puncture 30 cases of liver abscess in children, received good results, are as follows. 1 Materials and Methods 1.1 Case Selection Select hospitalized children who meet the following conditions: (1 by B-ultrasound, liver abscess diametergt; 3 cm, (2 no contraindication to liver biopsy. Clinical observation method used before and after comparison, in July 2002 ~ December 2004 32 patients in control group, in January 2005 ~ June 2007 30 cases of the observation group. 1.2 General information 30 cases in the observation group, 21 males and 9 females, male: female was 2.3:1 and the youngest 11 months to 8 years old,gt; 4 years old in 22 cases (73.3%, abscess diameter of 3 ~ 7 cm 19 cases (63.3%, 7 ~ 10 cm in 8 cases (26.7%,gt; 10 cm 3 cases (10%. 32 patients in the control group, 22 males and 10 females, male: female was 2.2:1, Minimum age of 14 months, maximum 8.2 years, andgt; 4 years old in 23 cases (71.9%, abscess diameter of 3 ~ 7 cm in 21 cases (65.6%, 7 ~ 10 cm in 9 patients (28.1%,gt; 10 cm 2 (n = 6.3%. two patients had fever, abdominal pain, varying degrees of liver enlargement, liver tenderness or percussion pain. digestive symptoms have long-term anorexia, vomiting and diarrhea. 1.3 Treatment (1 control group, treatment with antibiotics, the choice of a variety of pathogens are potent drugs alternating long (6 to 8 weeks application, and pay attention to nutrition and blood transfusion and other supportive therapy. Abscess in 8 patients because of the larger (gt; 7.8 cm-line surgery, 5 cases