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腹部脓肿的细菌学研究
引用本文:吴力群,吕秀文,吕文和,周岩冰,杨金镛,崔自介. 腹部脓肿的细菌学研究[J]. 青岛大学医学院学报, 1991, 0(4)
作者姓名:吴力群  吕秀文  吕文和  周岩冰  杨金镛  崔自介
作者单位:青岛医学院附属医院普通外科(吴力群,周岩冰,杨金镛),青岛医学院附属医院检验科(吕秀文,吕文和),青岛医学院附属医院普通外科(崔自介)
摘    要:报告75例腹部脓肿细菌培养和药敏试验结果。63例培养阳性,阳性率为84.0%,其中厌氧菌百分比为85.7%,需氧菌和厌氧菌混合感染为71.4%;共检出细菌159株,包括需氧菌64株、厌氧菌95林,其中以大肠杆菌和脆弱群拟杆菌为最多见。提示厌氧菌感染在腹部脓肿中占有重要地位,需氧菌和厌氧菌的混合感染是其特点之一。在抗生素选用上,应以丁胺卡那霉素或庆大霉素与甲硝唑合用为首选。

关 键 词:脓肿  腹部  细菌  需氧  细菌  厌氧  细菌学技术

A BACTERIOLOGICAL STUDY OF INTRA-ABDOMINAL ABSCESS
Wu Liqun,Lu Xiuwen,Lu Wenhe,et al. A BACTERIOLOGICAL STUDY OF INTRA-ABDOMINAL ABSCESS[J]. Acta Academiae Medicinae Qingdao Universitatis, 1991, 0(4)
Authors:Wu Liqun  Lu Xiuwen  Lu Wenhe  et al
Affiliation:Wu Liqun,Lu Xiuwen,Lu Wenhe,et al Department of General Surgery
Abstract:Findings from a bacteriological study of 75 patients with intra-abdomi abscess are presented. Among 63 specimens that yielded positive cultures, anaerobic bacteria were found present in 54 (85.7 percent) and mixed aerobic and anaerobic flora in 45 (71.4 percent). A total of 159 bacterial isolates were recovered (2.5 per specimen), including 64 aerobes and 95 anaerobes. The predominant aerobes and anaerobes were E. coli and the B. fragilis groups. This indicates that anaerobic infection plays an important role in inducing intra-abdominal abscess, and polymicrobial (aerobic and anaerobic) infection was one of the characteristics of the disease. This study shows that amikarin or gentamicin and metronidazole are the drugs of first choice in the treatment of intra-abdominal abscess;
Keywords:abscess  abdomen  bacteria   aerobic  bacteria   anaerobic  bacteriological technics
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