蒋红双 邓敏华 李佳颖

    【摘要】 细菌性肝脓肿(pyogenic liver abscess，PLA)是一种可危及生命的感染性肝脏疾病。随着PLA临床诊治水平的不断提升，死亡率呈下降趋势。随着糖尿病患者发病率上升，老年性糖尿病合并PLA患者逐渐增多。由于PLA在临床症状及体征方面缺乏特异性，因此在临床诊治中存在的一定的挑战。近十年来，PLA的发病机制、诊断、治疗方法等出现了新的重大发展变化。因此本文结合国内外文献，对我国PLA合并糖尿病患者的临床诊治等方面进行综述。

    【关键词】 糖尿病 细菌性肝脓肿 预后 临床诊治

    Progress in Diagnosis and Treatment of Type 2 Diabetes Mellitus Complicated with Pyogenic Liver Abscess/JIANG Hongshuang， DENG Minhua， LI Jiaying. //Medical Innovation of China， 2022， 19(15)： -170

    [Abstract] Pyogenic liver abscess (PLA) is a life-threatening infectious liver disease. With the continuous improvement of the level of clinical diagnosis and treatment of PLA， the mortality rate showed a downward trend. With the increasing incidence of diabetes， the number of elderly diabetic patients with PLA is increasing. PLA lack of specificity in clinical symptoms and signs， so in the clinical diagnosis and treatment of certain challenges. In the past decade， there have been major new developments and changes in the pathogenesis， diagnosis， and treatment of PLA. Therefore， this article reviews the clinical diagnosis and treatment of PLA patients with diabetes in my country based on domestic and foreign literature. ......