多发伤后抗生素相关性肠炎的诊断和处理  

Diagnosis and treatment of antibiotic-associated colitis after multiple traumas

作　　者：杨自力[1] 林材元[1] 吴恒义[2] 白涛[2] 

机构地区：[1]广州市第一人民医院中心ICU,广东广州510180 [2]广州军区总医院ICU,广东广州510010

出　　处：《创伤外科杂志》2006年第4期310-311,共2页Journal of Traumatic Surgery

摘　　要：目的探讨多发伤并发抗生素相关性肠炎(antib iotic-assoc iated colitis,AAC)的临床特点、诊断和治疗。方法对9例多发伤并发抗生素相关性肠炎患者的临床资料及相应的诊断和治疗进行分析。结果本组病例在使用抗生素后出现腹泻,并不同程度伴有其他症状。3例行肠镜检查,病变主要累及乙状结肠和直肠,且内镜检查呈典型的病理改变。结论在多发伤抗感染治疗中应该格外谨慎,合理使用抗生素,尽可能使用诱发AAC率低的抗生素;一旦确诊,应首先使用万古霉素。Objective To analyze the clinical characteristics,diagnosis and treatment of antibiotic-associated colitis after multiple traumas. Methods The clinical data of 9 cases with antibiotic-associated colitis after multiple traumas were investigated. Result Severe diarrhea and some other symptoms were found after the use of antibiotics. Enterescopy was performed in 3 patients,and some typical pathological changes were discovered in sigmoid colon and rectum. Conduslon Much attention should be paid to the treatment, and antibiotics should be used reasonably. The antibiotics,which show little possibility to cause antibiotic-associated colitis,should be adopted first.

关 键 词：多发伤 抗生素相关性肠炎 诊断 

分 类 号：R641[医药卫生—外科学] R516.1[医药卫生—临床医学]