Urokinase를 이용한 경피적 배농술로 성공적 치료된 다방성 간농양 1예
Succesful Treatment of Multiseptated Liver Abscess by Percutaneous Drainage with Urokinase
김준영, 한석주, 황의호, 한애리,
소속 상세정보
김준영 ( Kim Jun-Young )
연세대학교 의과대학 외과학교실
한석주 ( Han Seok-Joo )
연세대학교 의과대학 외과학교실
황의호 ( Hwang Eui-Ho )
연세대학교 의과대학 외과학교실
한애리 ( Han Ai-Ri )
연세대학교 의과대학 외과학교실
KMID : 0371320010600040456
Abstract
Liver abscess is a rare disease but shows a high mortality rate. The standard treatment is complete drainage of the abscess through surgery or insertion of a percutaneous catheter and proper antibiotic treatment. However, successful percutaneous drainage in a multiseptated abscess has several drawbacks, such as the necessity for inserting more than one catheter for proper drainage, a necessity for repetitive cathterization and moreover, the ultimate failure of effective drainage causing surgery to become inevitable. The authors used 80,000 IU urokinase three times per day over 5 days to lyse the fibrous septum in a 9-year-old child with multiseptated liver abscess. Catheter drainage with urokinase under radiologic intervention yielded successful a outcome in the treatment of a multiseptated liver abscess.
키워드
다방성 간농양;Urokinase;경피적 배액술
Multiseptated liver abscess;Urokinase;Percutaneous drainage
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