难治性支气管肺部感染与L型细菌的临床观察  

The role of L type bacterium in refractory pulmonary infections

作　　者：熊瑛[1] 林燕英[1] 聂文书[1] 王宋平[1] 李国平[1] 王文军[1] 杨小琼[1] 

机构地区：[1]泸州医学院附属医院,四川泸州646000

出　　处：《中国呼吸与危重监护杂志》2002年第2期87-89,共3页Chinese Journal of Respiratory and Critical Care Medicine

摘　　要：目的 探讨变异L型细菌在难治性支气管肺部感染中的作用。方法 对86例难治性支气管肺部感染患者进行痰常规细菌培养和L型细菌培养,在治疗后随访观察。结果 86例中共检出病原菌110株,其中L型细菌41株(占47.7％),细菌型69株(占80.2％),而细菌型与L型细菌均阳性30例(占34.9％),仅L型细菌阳性者17例(占19.8％)。治愈后随访26例,痰培养L型细菌阳性者8例(占30.8％)。结论 难治性支气管肺部感染与细菌型和变异L型细菌同时感染有关,特别是变异L型细菌是导致难治性支气管肺部感染的主要危险因素。Objective To explore the role of L type bacterium in refractory pulmonary infections. Methods Bacterial culture of sputum samples, including routine bacteria and L type bacteria, were underwent in 86 cases of refractory pulmonary infections.Specific regimens were given, then therapeutic efficacy was follow-up.Results In 86 cases,41 strains of L type bacterium were isolated(47.7% ), while non-L bacterium were 69(80.2%) .Two types of bacterium were isolated in the same sample in 30 cases (34.9% ), while only L type in 17 cases (19.8% ) .After treatment, in 26 cases with previously L type bacterium infections, L type bacteria were still isolated in 8 cases.Conclusion L type bacterium is contributed to refractory lung infections.

关 键 词：细菌 L型细菌 肺部感染 

分 类 号：R563.1[医药卫生—呼吸系统]