原因不明发热患者L型细菌的血培养研究  

STUDY ON L-FORM BACTERIA IN BLOOD CULTURE IN CASES OF FEVER OF UNKNOWN ORIGIN

作　　者：赵丽[1,2] 侯桂华[1,2] 邵丽华[1,2] 丛华[1,2] 贾继辉[1,2] 吴光照[1,2] 

机构地区：[1]山东医科大学实验中心 [2]山东医科大学微生物学教研室

出　　处：《山东医科大学学报》1996年第3期202-204,共3页Acta Academiae Medicinae Shandong

摘　　要：对临床上４４例原因不明发热、青霉素治疗无效的患者进行了血普通培养和Ｌ型细菌培养。结果表明，普通培养细菌的阳性率为１８％，Ｌ型细菌培养阳性率为３６％（０．０２５＜Ｐ＜０．０５）。药敏试验结果表明，从同一患者血中分离培养出的细菌和Ｌ型细菌对药物的敏感性不同。因此，临床上对长期发热而青霉素治疗无效的患者。Forty-four blood samples from clinical cases were studied. The patients had had fever of unknown origin for one week and were not sensitive to penicillin. The samples were cultivated with ordinary media and L-form media. The positive rate in ordinary media was 18% and 36% in L-form media. The positive rate in Lform media w as higher than that in ordinary media. The difference was signifficant(0. 025<p<p<0.05). The microbial sensitivity tests showed that the sensitivities of bacteria and Lform bacteria from the same case were different. Blood L-form bacteria must be cultivated immediately for above patients. The patient must be treated according to the results.

关 键 词：原因未明热 细菌 L型 药敏试验 血培养 

分 类 号：R597.03[医药卫生—内科学] R915[医药卫生—临床医学]