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胆道梗阻患者肠道细菌易位的临床观察
引用本文:喻梅英,胡继雄,熊寿芝,李永国,钟德玝. 胆道梗阻患者肠道细菌易位的临床观察[J]. 中南大学学报(医学版), 1999, 0(2): 150-152
作者姓名:喻梅英  胡继雄  熊寿芝  李永国  钟德玝
作者单位:湖南医科大学第二附属医院外科,长沙,410011
摘    要:对35例胆道疾病患者的肠系膜淋巴结、外周静脉血、门静脉血及胆汁进行细菌学研究。35例中胆道梗阻23例,胆道未梗阻12例。结果显示:65%的胆道梗阻患者出现细菌易位,而非胆道梗阻患者未见细菌易位发生;易位至肠系膜淋巴结者多为G-肠杆菌。提示肝外胆道梗阻可导致人体肠道细菌易位。

关 键 词:胆管阻塞,肝外  胆道疾病  细菌易位*  细菌学
修稿时间:1998-11-23

Intestinal bacterial translocation in patients with biliary tract diseases
Yu Meiying Hu Jixiong Xiong Shouzhi Li Yongguo. Intestinal bacterial translocation in patients with biliary tract diseases[J]. Journal of Central South University. Medical sciences, 1999, 0(2): 150-152
Authors:Yu Meiying Hu Jixiong Xiong Shouzhi Li Yongguo
Abstract:To determine whether intestinal bacterial translocation occurs in man, the authors cultured the tissues of mesenteric lymph nodes(MLNs), bile, portal and peripheral venous blood obtained prior to and during operation in 35 patients with biliary diseases. No positive peritoneal swab, portal blood and peripheral blood culture were shown. Thirteen of 20 patients with biliary obstruction (65%) had bacteria in their MLNs, while no positive MLN culture was found in 12 patients without biliary obstruction. The most common bacteria recovered from the MLNs were Gram negative enteric bacilli. Thus, it is considered that extrahepatic biliary obstruction may induce intestinal bacterial translocation in man.
Keywords:bile duct obstruction  extrahepatic  biliary tract diseases  bacterial translocation *  bacteriology  
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