Liver abscess not cured for 6 months may be the choice of treatment is not appropriate, can be changed to other treatment modalities such as puncture drainage, surgical treatment, support and antibiotic therapy.
1. Puncture drainage: ultrasound-guided puncture can be used to place a catheter in the abscess cavity, and metronidazole solution to flush the abscess cavity 1~2 times, can be carried out under local anesthesia, there is a small risk, the patient is easy to accept and so on, especially for the elderly and frail.
2. Surgery: incision and drainage of abscess is suitable for those who have poor drainage by puncture and tube placement, those who have poor disease control, those who have chronic bacterial abscesses with thick walls which are difficult to be treated, and those who have bacterial liver abscesses which have broken through the thoracic and abdominal cavities or the bile ducts.
3. Supportive and antibiotic treatment: strengthen nutrition, replenish fluids, correct water and electrolyte disorders, give multivitamins, repeatedly transfuse a small amount of fresh blood and plasma and albumin, a variety of amino acids, hypertonic dextrose, insulin, potassium chloride compound liquid. For those who are physically weak, central venous high nutritional fluid can be given to improve liver function and correct hypoproteinemia.
Should go to the hospital under the guidance of the doctor, choose other more suitable treatment, so as not to delay the condition.