超声介入治疗1例糖尿病性酮症合并腰大肌脓肿体会

Journal of Internal Intensive Medicine(2023)

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Abstract
糖尿病患者易并发感染甚至深部脓肿[1],如腰大肌脓肿,高血糖状态便是其主要诱发因素之一[2].当腰大肌脓肿形成时,应及时给予引流否则脓液会沿着肌间隙蔓延至髂窝,顺着腹股沟侵及大腿.有报告指出腹腔镜腹膜后入路微创手术除引流脓肿,可清除脓腔壁上的脓苔和坏死组织有良好疗效[2].但目前仍是经皮穿刺置管引流(percutaneous catheter drainage,PCD)或外科引流辅以抗生素治疗为主的治疗方案较多.介入超声因其微创、高效的优势,为一些急诊手术提供了替代选择的治疗方案.
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