CAJ | 학술논문

目的了解辽宁地区肝硬化患者的腹水感染菌种分类.方法对1925例肝硬化患者抽取腹水,采用床头接种人血培养基,分析细菌菌种.结果腹水细菌培养阳性166例(8.62%),生长11种细菌,革兰阴性菌生长占64.46%,其中大肠埃希菌占总构成比的53.01%.在腹水培养阳性的患者中,肝功能Child-Pugh C级患者的病死率为63.25%.结论本地区肝硬化患者自发性细菌性腹膜炎的感染菌种以革兰阴性菌为主,临床上应有针对使用抗生素.
목적 료해료녕지구간경화환자적복수감염균충분류.방법 대1925례간경화환자추취복수,채용상두접충인혈배양기,분석세균균충.결과 복수세균배양양성166례(8.62%),생장11충세균,혁란음성균생장점64.46%,기중대장애희균점총구성비적53.01%.재복수배양양성적환자중,간공능Child-Pugh C급환자적병사솔위63.25%.결론 본지구간경화환자자발성세균성복막염적감염균충이혁란음성균위주,림상상응유침대사용항생소.
Objective To investigate the distribution of strains isolated from ascites specimens in patients with liver cirrhosis in Liaoning.Methods The specimens of ascites were cultured.The bacterial confirmatory were carried out.Results 166 strains were isolated from the specimens of ascites.The positive rate was 8.62% ,gram-negative bacteria accounted for 64.46% ,Escherichia coli(E.coli)accounted the first(53.01 %).In the patients of ascites positive,the mortality in patients with liver cirrhosis (Child-Pugh C)was 63.25% .Conclusions Gram-negative bacteria is the main pathogenic bacteria isolated from ascites specimens of spontaneous bacterial peritonitis in patients with liver cirrhosis.The antimicrobial agents should be applied effectively in clinical work.