临床外科杂志 ›› 2026, Vol. 34 ›› Issue (2): 227-228.doi: 10.3969/j.issn.1005-6483.20250292

• 临床病例报道 • 上一篇    下一篇

超声介入诊治肝脓肿并发内源性眼内炎一例

  

  1. 116000  辽宁大连,大连医科大学附属第一医院普外三科(陆依凡,韩京润,张庆凯,尚东,李爽),超声科(佟梦萦)
  • 收稿日期:2025-03-07 接受日期:2025-03-07 出版日期:2026-02-25 发布日期:2026-02-25
  • 通讯作者: 佟梦萦,Email:mengyingtong@163.com;李爽,Email:lis10dmu@163.com
  • 基金资助:
    国家自然科学基金资助项目(82474280,82000075),大连“登峰计划”科研项目(DF2023034)

Interventional ultrasound diagnosis and treatment of liver abscess complicated endogenous endophthalmitis:a case report

  1. Department of General Surgery Ⅲ,the First Affiliated Hospital of Dalian Medical University,Dalian 116000,China
  • Received:2025-03-07 Accepted:2025-03-07 Online:2026-02-25 Published:2026-02-25

摘要: 重症肝脓肿合并内源性眼内炎病人在接受超声引导下经皮肝脓肿穿刺引流术后,及时接受眼科治疗,成功控制病情并保住了部分视力。该病例提示,在治疗化脓性肝脓肿时,除了密切监测病人的全身状况外,还需警惕可能出现的局部并发症,尤其是内源性眼内炎等,以避免误诊和延误治疗。

关键词: 肝脓肿, 内源性眼内炎, 超声介入

Abstract: A patient with severe liver abscess combined with endogenous endophthalmitis underwent ultrasound-guided percutaneous liver abscess puncture and drainage and received timely ophthalmologic treatment,which successfully controlled the condition and preserved her partial vision.This case reminds that in the treatment of pyogenic liver abscess,in addition to close monitoring of the patient's systemic condition,special vigilance is also required for possible local complications,especially serious complications such as endogenous endophthalmitis,to avoid misdiagnosis and delay in treatment.

Key words: liver abscess, endogenous endophthalmitis, interventional ultrasound

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