26例特重烧伤厌氧菌败血症临床分析  

Clinical analysis of anaerobic septicemia in 26 patientswith extensive burn

作　　者：黄晓元[1] 马恩庆[1] 龚连生[1] 杨兴华[1] 罗成群[1] 龙剑虹[1] 刘发祝[1] 

机构地区：[1]湖南医科大学附属湘雅医院烧伤整形科

出　　处：《中华外科杂志》1995年第12期752-753,共2页Chinese Journal of Surgery

摘　　要：作者对１９８８年至１９９３年收治的１２７例烧伤面积在５０％以上的患者在作普通血培养的同时，常规进行厌氧菌培养。结果在３９例血培养阳性的患者中，２６例有厌氧菌生长。２６例共分离出６１株、９种厌氧菌，主要为消化球菌（３７．７％），其次为脆弱类杆菌（３６．１％）。２６例合并厌氧菌感染的病例中死亡７例，死亡率为２６．９％。文中对厌氧菌感染的特点及来源进行了分析。AbstractTo understand the incidence and importance ofanaerobic infection,the aerobic and anaerobic bloodculture were carried out simultaneously in 127 patientswith extensive burns(TBSA > 50%).Among 39 pa-tients with positive culture,26 had anaerob growth inHood culture. The total incidence rate of anaerobic sep-ticemia was 20.4%。 61 strains( 9 species ) of anaerobes were isolated from blood specimens。 The predomi-nant anaerobes were Peptococcus(37.7%)and B。fragitis(36.1%).20(76.9%)were mixed infectiOn ofaerobes and anaerobes, The others thers suffered fromcombined infection of B. Fragilis and peptococcus com-bined infection. Finally,19 patients survived and 7 died(26.9%).The sensitive tests showed that the effec-tive drugs were metronidazot, chloramycin,and lin-comycin, These data suggested that the septicemia ofextensive burn patients is often caused by anaerobes.Therefore,anaerobe plays an important role in burn in-fection.

关 键 词：烧伤 厌氧菌 败血症 临床分析 

分 类 号：R644.05[医药卫生—外科学] R515.3[医药卫生—临床医学]