无线超声引导肝脓肿经皮引流患者床边。关于一个案例

Johnny Alexander Padrón Sanabria, Tenneesse José Ledezma Sánchez, Mariaisabel Oriana Cedeño Miranda, Andrés Efraín de San José Betancourt Sosa
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引用次数: 0

摘要

肝脓肿是一种位于肝实质的包封性化脓性物质的集合,多为化脓性或阿米巴性。我们提出的情况下,一个35岁的男性患者谁已经提出了一个月的反复热升高和腹部疼痛在右胁肋。腹部护理点超声示肝V、VII、VIII段卵圆形病灶,13 cm × 11 cm × 11 cm,边缘规则,回声不均匀,混和,后有后路声强化及内部回声,多普勒未见内部血管形成。建议在无线超声引导下经皮引流时应用经验性抗生素治疗。根据查阅的文献和个人经验,有选择的患者可在床边无线超声引导下经皮引流此类脓肿,安全、廉价、有效。
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Drenaje percutáneo de absceso hepático guiado por ultrasonografía inalámbrica a pie de cama del paciente. A propósito de un caso
: Liver abscess is a collection of encapsulated suppurative material located in the liver parenchyma, mostly classified as pyogenic or amoebic. We present the case of a 35-year-old male patient who has presented for a month with recurrent thermal increases and abdominal pain in the right hypochondrium. Ultrasound was performed at the abdominal care point, evidencing oval lesion in liver segments V, VII and VIII, 13 cm x 11 cm x 11 cm, with regular edges, heterogeneous, mixed echo with posterior acoustic reinforcement and internal echoes, without internal vascularization to the Doppler. Empirical antibiotic therapy was indicated and proposed for percutaneous drainage guided by wireless ultrasound. Based on the literature consulted and personal experience, it is advisable to perform percutaneous drainage of this type of abscess, guided by wireless ultrasound at the bedside in selected patients, demonstrating that it is safe, cheap and effective.
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