CAJ | 학술논문

目的了解细菌感染性腹泻的临床及病原学特点.方法回顾性分析1998年至2007年复大学附属金山医院感染性腹泻患者2380例的临床及细菌学特点.计数资料行X~2检验.结果 10年间因腹泻就诊的20 169例患者中,2380例粪细菌培养阳性,包括副溶血弧菌感染2247例,占94.4%,志贺菌属感染99例,占4.2%,沙门菌属感染29例,占1.2%,溶藻弧菌感染3例,致病性大肠埃希菌感染2例.因腹泻就诊者在每年6至10月多见,副溶血弧菌感染主要表现为腹痛、腹泻、恶心、呕吐,可伴有脱水,志贺菌属感染主要表现为发热、腹痛、腹泻.结论上海市金山区细菌感染性腹泻患者粪细菌培养阳性率不高,仍以副溶血弧菌、志贺菌属为主要致病菌.
목적 료해세균감염성복사적림상급병원학특점.방법 회고성분석1998년지2007년복대학부속금산의원감염성복사환자2380례적림상급세균학특점.계수자료행X~2검험.결과 10년간인복사취진적20 169례환자중,2380례분세균배양양성,포괄부용혈호균감염2247례,점94.4%,지하균속감염99례,점4.2%,사문균속감염29례,점1.2%,용조호균감염3례,치병성대장애희균감염2례.인복사취진자재매년6지10월다견,부용혈호균감염주요표현위복통、복사、악심、구토,가반유탈수,지하균속감염주요표현위발열、복통、복사.결론 상해시금산구세균감염성복사환자분세균배양양성솔불고,잉이부용혈호균、지하균속위주요치병균.
Objective To investigate the clinical and pathological characteristics of bacterial infectious diarrhea.Methods The clinical and pathological characteristics of 2380 cases of bacterial infectious diarrhea in Jinshan Hospital,Fudan University from 1998 to 2007 were analyzed retrospectively.Enumeration data were analyzed by X~2 test.Results Among the 20 169 patients who went to hospital because of diarrhea in 10 years,2380 cases fecal bacterial culture were positive,including Vibrio parahaemolyticus(2247 cases,94.4%),Shigella(99 cases,4.2%),Salmonella (29 cases,1.2%),Vibrio alginolyticus(3 cases),pathogenic Escherichia coli(2 cases).Patients with diarrhea were common from June to 0ctober in each year.The main manifestations of Vibrio parahaemolyticus infection were abdominal pain,diarrhea,nausea,vomit or dehydration.The main manifestations of Shigella infection were fever,abdominal pain and diarrhea.Conclusions The bacterial culture positive rate of stool samples from patients with bacterial infectious diarrhea is not high in Jinshan district.Shanghai.The major pathogens are Wbrio parahaemolyticus and Shigella.