贵州医科大学学报

1998, (04)

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胆石症病人术中胆汁需氧菌培养228例分析
An Analysis of Aerobic Bacteria Cultured from Bile of 228 Cholelithiasis Patients

聂超群
Nie Chaoqun Department Surgical of the fourth people's hospital of Guiyang

摘要(Abstract):

对228例胆石症择期手术病人,进行术中胆汁需氧菌培养,其中70例检出革兰阴性杆菌,共16种89株;18例检出革兰阳性球菌,共7种29株。且胆汁中细菌新菌种的检出有逐年上升趋势,尤其是革兰阳性球菌菌株的检出明显增多。术中胆汁培养阳性率,由胆囊向胆管及肝内递增(P<001),与胆石的化学成分、胆管梗阻性病变及合并胆道感染的严重程度有关。本组资料还提示:胆囊结石病人术中胆汁培养阳性率,与胆囊是否伴有萎缩、积液、积脓等病变无明显相关性。
Author cultivated the bile that obtained from 228 cholelithiasis patients in operation for aerobic bacteria, in order to understand the herd of aerobic bacteria in bile and their vicissitudes. 16 species 89 strains gram-negative bacilli were found in 70 patients and 18 species 29 strains gram-positive cocci were found in another 18 patients. New bacteria strains in bile were found to be rising tendency year by year, especially gram-positive cocci. Positive rate of bile culture increased by degrees from gallbladder to intrahepatic bile duct. It also related to the chemistry component of bile stone, obstruction of bile duct and serious degree of bile duct infection. The data indicated that positive rate of bile culture in cholecystolithiasis patients is little in relation to the atrophy or liquid-accumulate or pus-accumulate of gallbladder. Author thinks we may use antibiotic before cholecystectomy of chronic cholecystolithiasis.

关键词(KeyWords): 胆结石,胆汁,细菌.需氧
cholelithiasis;bile;bacteria,aerobic

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作者(Author): 聂超群
Nie Chaoqun Department Surgical of the fourth people's hospital of Guiyang

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