急性胆囊炎腹腔镜胆囊切除术术中胆汁细菌培养及药物敏感试验分析.pdfVIP

996 Chinese Journal of Medicinal Guide 2012 Volume 14 No.6 (Serial No.104) 急性胆囊炎腹腔镜胆囊切除术术中胆汁细菌培养及药物敏感试验分析 李想,谭南,梁碧霞 (中山市博爱医院普通外科,中山528400) 【 】 探讨急性胆囊炎腹腔镜胆囊切除术患者胆道细菌培养与药敏特点,为临床合理应用抗生素提供依据。 对2008年 摘要 目的: 方法: 1月～20 11年8月间230例急性胆囊炎腹腔镜切除术(LC)患者胆汁标本进行培养、鉴定、药敏试验(DST)和分析。结果:230例中160 例胆汁标本培养阳性,共分离菌株180株,其中革兰阴性杆菌占65.6%,革兰阳性球菌占28.9%,革兰阳性杆菌占5.6%;革兰阴性杆菌以 大肠埃希菌为主, 占64.4%,革兰阳性球菌以粪肠球菌为主, 占42.3%;药敏结果显示:革兰阴性杆菌对亚胺培南,头孢曲松敏感率较高; 革兰阳性球菌对万古霉素、亚胺培南敏感;大肠埃希菌对青霉素类,一、二代头孢类、妥布霉素等呈一定的耐药性。结论:急性胆囊 炎LC术中应重视胆道细菌培养与药敏,并据药敏感结果等选择抗生素治疗。 【 】胆汁培养;急性胆囊炎;药敏试验 关键词 【 R575.6 A 】1009-0959(2012)06-996-02 中图分类号】 　 【文献标识码】 　 【文章编号 Biliary Bacterial Culture and Drug Sensitivity Test in Patients with Acute Cholecystitis Undergoing Laparoscopic Cholecystectomy Li Xiang, Tan Nan, Liang Bi-xia (Department of General Surgery.BoAi Hospital of Zhongshan, Zhongshan 528400,China) 【 】 To explore biliary bacterial culture and drug sensitivity test in patients with acute cholecystitis undergoing ABSTRACT Objective: laparoscopic cholecystectomy., to provide basis for clinical anti-infective therapy.Methods:Biliary samples of 230 patients with Acute Cholecystitis Undergoing Laparoscopic Cholecystectomy(LC)in our hospital from 2008.1 to 20 11.8 were suj ected to culture of biliary bacteria,identify and drug sensitivity test (DST).Results:Of the total 230 bile specimens, 160 were postive in bacteria culture, A total of 180 strains were isolated, With