Introduction
Hepatic sepsis means a single or multiple sepsis in the substance of the liver, which can be caused by pathogens such as bacteria, fungi or parasites. Hepatic sepsis is a serious infectious disease in the liver, which, if not treated in a timely and effective manner, can lead to serious complications and even endanger life. In recent years, the incidence of liver abscess has gradually increased with the ageing of the population, the increase in the incidence of basic diseases such as diabetes and the widespread use of liver and urchin surgery. This paper provides an overview of the treatment of hepatoplasm, including drug treatment, puncture induction, surgical treatment, etc., analyses the adaptations, efficacy and disadvantages of various treatments, and looks at the future direction of hepatopsis treatment, with the aim of providing clinical doctors with a comprehensive reference to hepatic sepsis treatment and raising the level of hepatic sepsis treatment.
II. Causes of illness
The main causes of hepatic sepsis include: cholesterol infections, such as cholesterol and cholesterol infections, which cause bacterial reverse liver infections, which are the most common causes, with the common intestines of Egi, Creber, etc. Blood-borne infections: Infected stoves in other parts of the body are transmitted through blood circulation to the liver, such as lung infections, skin soft tissue infections, and common fungus are yellow grapes. Direct spread: Infections of neighbouring organs, such as cholesterol, sepsis, etc., directly spread to the liver. Other: Factors such as post-hepatosophageal infections, increased susceptibility of diabetes patients and low immune function are also closely related to the occurrence of hepatic sepsis.
III. Clinical performance
Patients often show signs of high heat, cold fighting, pain in the upper right stomach, inactivity and appetite. The medical examination revealed signs of right upper abdominal stress, hepatic swelling, and cropping in the liver. Some of these patients can be accompanied by yellow stings, nausea, vomiting, etc. In serious cases, complications such as infectious shock can occur.
IV. Diagnosis
(i) Laboratory examinations: regular blood patterns often show an increase in the white cell count and the proportion of neutral particles; haematogens that can be identified in blood culture; and C high indicators of inflammation such as protein, calcium reduction. For patients suspected of hepatic sepsis, hepatic function checks should be routinely performed to understand liver damage. (ii) Visual examination: 1. Ultrasound: a preferred method for diagnosing liver abscesses, identifying liquid dark areas within the liver, determining the area, size, quantity and relationship to the surrounding tissue, and also performing a perforation as well as a diversion with ultrasound. 2. CT Examination: The diagnosis of a complex liver ablution is of higher value and helps to identify other hepatopathic conditions by showing more clearly the form, size, location and presence of partitions, gases, etc. 3 MRI Inspections: The higher resolution of soft tissues can provide more information on sepsis walls and internal structures, which can be used when the diagnosis is not clear or there is a suspicion of combining other liver changes.
Treatment
(i) Drug treatment: choice of antibiotics: sensitive antibiotics should be selected according to the type of fungi and the drug-sensitive results. Empirical use of broad-spectral antibiotics, such as third-generation hysteresis, and so forth, to cover the gland vaginal and anaerobic bacteria, is available until the pathogens are identified. In the case of hepatic sepsis due to haematological infections, treatment of gland positive fungi, such as the golden sepsis, needs to be considered. Antibiotic programmes should be adapted in a timely manner once drug-sensitive results are available. Treatment process: The general antibiotic treatment process is longer, usually 4-6 weeks or longer, and the timing of the withdrawal needs to be judged on the basis of the patient ‘ s clinical symptoms, signs, laboratory tests and the results of the visual examination. The temperature of the patient, the white-cell count, and the size of the liver sepsis should be closely observed during the treatment. (ii) Pumps: for liver abscesses greater than 3 cm in diameter, especially single, larger septies; for those with poor or progressive medical treatment; and for those with apparent symptoms of systemic poisoning. Method of operation: under the guidance of ultrasound or CT, abscess through the skin, into the lead tube, as much as possible, and can be washed repeatedly. The mains shall be properly fixed and kept open to observe changes in the volume, colour, sexual characteristics, etc. of the fluids. (iii) Surgical treatments: 1, septosis and sepsis subjection: evidence of adaptation: persons who have not had the effect of a puncture-diplining or who have impervious proof of puncture, such as those who are in a deeper position and are closely associated with a significant vascular or larvae; persons whose sepsis has been punctured to the abdominal cavity or nearing organs causing perimenitis or internal fistula; persons whose multiple sepsis and puncture-dile flow cannot be dealt with effectively. Operating methods: Abdominal surgery or abdominal surgery. The abdominal surgery allows for full detection of the liver in direct view, the complete removal of sepsis and depraved tissue, and the placement of a diversion tube. The abdominal surgery has the advantage of small trauma and recovery, with priority given to appropriate cases. Hepatectomy: Accommodative evidence: chronic hemorrhage, poor pharmacological and puncture-inducing effects, fibrosis of the pebbles; corrosive diseases such as chocophagus in the hepatocophagus combined with cholesterebrates and constrictive cholesterols, which need to be dealt with at the same time; hepatophorosis leading to large-scale deaths of liver tissues and loss of normal liver tissue function; and hepatic abscesses which have been altered. The operation should be carried out with precision to remove the mutilated liver leaf or liver, while care is taken to protect the blood and chords of the remaining liver and to reduce the occurrence of post-operative complications.
VI. Complications and Treatment
Infective shock: As one of the most serious complications of hepatic sepsis, there should be immediate treatment against shock, including supplementation of blood capacity, application of vascular activity drugs, correction of acid alkali balance disorder, and enhanced treatment against infection, with surgical intervention if necessary. Abscesses are punctured: they can be pierced to the abdomen, chest cavities, heartbags, etc., causing infection and sapling of the corresponding part. In the event of abscess, treatments such as surgeries, anti-infections, etc., need to be performed in a timely manner in accordance with the location of the perforation and the condition of the patient, such as an abscesses to the abdominal cavity leading to perplegic peritonealitis, emergency abdominal detection, rinsing and abscess. Courage haemorrhage: It is less common, mostly due to abscess from cholesterol or blood vessels. Small amounts of haemorrhage can be treated conservatively first, such as stop bleeding, anti-infection, etc., while large amounts of haemorrhage are considered for surgical stop bleeding or intervention in embolism.
VII. PROGRESS
The prognosis of hepatic sepsis is related to a number of factors, such as the age of the patient, the underlying disease, the size, number of sepsis, and the timeliness and effectiveness of treatment. Early diagnosis, timely and reasonable treatment can significantly improve the patient ‘ s prognosis, and most patients can recover after treatment. However, for patients with serious underlying diseases, treatment delays or serious complications, the advance is poor and the rate of death is higher.
Conclusions and outlook
Hepatic sepsis treatment is a comprehensive process, and drug treatment is the basis for hepatosoplasm treatment and plays an important role in early, smaller liver sepsis or as an aid to other treatments. Pumping leads have the advantage of small traumas, simplicity of operation and efficacy, and have become one of the main treatments for most liver abscesses. Surgical treatment applies to a particular complex case, but although it completely removes the stove, the risk of surgery is relatively high, the post-operative recovery period is longer, requiring an accurate diagnosis by a clinical practitioner and the choice of the appropriate treatment according to the patient ‘ s specific circumstances. Drug treatment, puncture-inducing and surgical treatments have their own adaptations and strengths and weaknesses and should be applied flexibly. As medical technologies continue to evolve, such as the development of new antibiotics, advances in micro-creational technologies and in-depth research on liver sepsis mechanisms, the treatment of liver sepsis will become more precise and effective and will be further improved later on.
Hepatic abscess.
