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难辨梭状芽孢杆菌性肠炎28例临床分析
引用本文:栾向东,王静,杨晓丽. 难辨梭状芽孢杆菌性肠炎28例临床分析[J]. 泰山医学院学报, 2004, 25(4): 295-296
作者姓名:栾向东  王静  杨晓丽
作者单位:1. 泰山医学院第一教学医院,山东,泰安,271000
2. 仪阳医院,山东,肥城,271000
摘    要:
目的了解加强监护病房(ICU)难辨梭状芽孢杆菌性肠炎(CDAD)危险因素、症状及疗效。方法选取1999~2003年大便难辨梭状芽孢杆菌培养阳性患者28倒及治疗观察临床表现。结果腹泻28例(100%).发热28例(100%),腹痛20例(71.4%)。结论用抗生素过程中出现腹泻应首先怀疑难辨梭状芽孢杆菌性肠炎,行粪便难辨梭状芽孢杆菌培养,有条件应进行毒素A、B检测,尽早治疗。

关 键 词:难辨梭状芽孢杆菌 肠炎 临床
文章编号:1004-7115(2004)04-0295-02
修稿时间:2004-04-23

Clinical analysis in 28 patients with clostridium difficile colitis
LUAN xiang-dong,WANG jing,YANG xiao-li. Clinical analysis in 28 patients with clostridium difficile colitis[J]. Journal of Taishan Medical College, 2004, 25(4): 295-296
Authors:LUAN xiang-dong  WANG jing  YANG xiao-li
Affiliation:LUAN xiang-dong1,WANG jing1,YANG xiao-li2
Abstract:
Objectiue:To study the incidence, dangerous factors of clinical symptoms, curative effect in intensive care unit (ICU). Methods: 28 patientswith positively cultured clostridium difficile were selected for treatment and observation of clinical symptoms.Results:Diarrhea occurred in 28 cases (100%), fevers in 28(100%) and stomachache in 20(71.4%).Conclusion:If diarrhea occurs in the patients during the use of antibiotics, clostridinm difficile colitisshould be considered and cultured clostridium difficile tests be done for toxin A or B and special treatment.
Keywords:clostridium difficitis  autibiotics associated cliarrhoea  clinic
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