■阿米巴肝脓肿(ALA)和化脓性肝脓肿(PLA)是发展中国家和发达国家肝脓肿的最常见原因,分别。虽然肝脓肿的发病率很低,但由于延迟诊断,患者的死亡率很高。本研究旨在了解肝脓肿患者中阿米巴和PLA的患病率。临床,个人,和人口统计学细节也进行了评估,以找出与ALA和PLA相关的危险因素,分别。
■进行了一项回顾性研究,以发现阿米巴和PLA的患病率。临床,人口统计学,从医院记录中评估个人详细信息.实验室参数,如白细胞总数,血小板,胆红素,红细胞沉降率(ESR),血红蛋白,糖化血红蛋白(HbA1c),碱性磷酸盐(ALP),天冬氨酸转氨酶(SGOT/AST),丙氨酸转氨酶(SGPT/ALT),血清白蛋白,胆红素水平,并记录降钙素原。超声检查(USG)关于大小的发现,location,volume,和脓肿的数量也进行了分析。
■共评估了107例肝脓肿患者,61.6%的患者是阿米巴病因,25.3%为化脓性病因。20-60岁的男性主要以右上腹疼痛和发烧为最常见的表现。ALA患者发现右叶有孤立性脓肿,累及第6段和第7段,随着血红蛋白的减少,高胆红素血症,ALP和SGOT升高,正常的SGPT,对酒精上瘾。PLA患者HbA1c升高,增加的PCT值,低血清白蛋白水平,和低血小板白细胞值。引起PLA的最常见细菌是大肠杆菌(n=8),其次是阴沟肠杆菌(n=5)。6例患者死亡。
■发现肝脓肿具有相对较高的死亡率和发病率。因此,早期诊断是预防这些患者死亡率和发病率的唯一方法。由于演示文稿非常不具体,评估某些危险因素和实验室参数可以帮助诊断。
UNASSIGNED: Amoebic liver abscess (ALA) and
pyogenic liver abscesses (PLA) are the most common causes of liver abscess in developing and developed countries, respectively. Although incidence of liver abscess is low, but mortality is high amongst the patients due to delayed diagnosis. The study was done to find out the prevalence of amoebic and PLA among patients of liver abscess. The clinical, personal, and demographical details were also evaluated to find out the risk factor(s) associated with ALA and PLA, respectively.
UNASSIGNED: A retrospective study was conducted to find the prevalence of amoebic and PLA. Clinical, demographic, personal details were evaluated from hospital records. Laboratory parameters such as total leucocyte count, platelets, bilirubin, ESR (Erythrocyte Sedimentation Rate), hemoglobin, glycosylated hemoglobin (HbA1c), alkaline phosphate (ALP), Aspartate aminotransferase (SGOT/AST), Alanine aminotransferase (SGPT/ALT), serum albumin, bilirubin levels, and procalcitonin were recorded. The Ultrasonography (USG) findings regarding the size, location, volume, and number of abscesses were also analyzed.
UNASSIGNED: Total of 107 patients of liver abscess were evaluated, and 61.6% of patients were of amoebic etiology, and 25.3% were of
pyogenic etiology. Males of 20-60 years of age were predominantly affected with right upper quadrant pain and fever as the most common presentations. ALA patients were found to have solitary abscess in the right lobe involving 6th and 7th segments, with decreased hemoglobin, hyperbilirubinemia, elevated ALP and SGOT, with normal SGPT, and addiction to alcohol. PLA patients had increased HbA1c, increased PCT values, low serum albumin levels, and low platelet-to-white blood cell values. The most common bacteria causing PLA was Escherichia coli (n = 8) followed by Enterobacter cloacae (n = 5). Mortality was seen in 6 patients.
UNASSIGNED: Liver abscess is found to have relatively high mortality and morbidity. Therefore, early diagnosis is the only method to prevent mortality and morbidity in these patients. Since the presentation is very nonspecific, evaluation of certain risk factors and laboratory parameters can aid in the diagnosis.