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IR@PKUHSC  > 北京大学第一临床医学院  > 急诊科  > 期刊论文
学科主题: 急诊医学
题名:
糖尿病合并肝脓肿的临床特点及其感染细菌分布
其他题名: Clinical characteristics and bacterial distribution in patients with diabetes companied with pyogenic hepatic abscess
作者: 李晓晶; 汪波; 熊辉
关键词: 肝脓肿 ; 糖尿病 ; 抗生素 ; 大肠埃希菌 ; 肺炎克雷伯菌 ; pyogenic hepatic abscess ; diabetes ; antibiotic ; Escherichia coil ; Klebsiella pneumoniae
刊名: 中国临床药理学杂志
发表日期: 2015
DOI: 10.13699/j.cnki.1001-6821.2015.03.022
期: 3, 页:232-234
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的:分析糖尿病合并细菌性肝脓肿的临床特点及其细菌培养和药物敏感性结果,探讨其用药经验和治疗方法。方法回顾性分析42例糖尿病合并肝脓肿的病例资料,分析其临床表现、细菌培养及药物敏感性结果,治疗方案和预后。结果42例糖尿病合并肝脓肿主要临床表现为寒战发热、腹痛、肝区疼痛等;其中肝脓肿单发33例,2个或2个以上的多发肝脓肿9例。共培养致病菌36例,其中肺炎克雷伯杆菌22例,1例产广谱β内酰胺酶( ESBLs);大肠埃希菌8例,7例产ESBLs;铜绿假单胞菌4例;屎肠球菌2例。临床好转或治愈40例,死亡2例。结论糖尿病合并肝脓肿病原菌以肺炎克雷伯菌最为多见,应根据致病菌分布和药敏结果合理选择抗生素。 Objective To summarize the clinical features and bacterial culture and drug sensitivity in patients with diabetes companied with pyo-genic hepatic abscess.Methods The medical records, bacterial culture and drug sensitivity results of the patients with diabetes companied with pyogenic hepatic abscess diagnosed were analyzed retrospectively.Results A total of 42 cases were recruited.Appear the clinical manifes-tations of chills, fever, abdominal pain, liver pain, et al.Thirsty-three cases had single abscess, 9 cases had multiple abscesses.Positive pathogenic bacteria culture were 36 cases including 22 cases of Klebsiella pneumoniae, 1 case of them produced extended-spectrum β-lactamases ( ESBLs);8 cases of Escherichia coli, 7cases of them produced ESBLs;4 cases of Pseudomonas aeruginosa, and 2 cases of Enterococcus faecium.Forty cases were clinically improved or cured.Two cases were dead.Conclusion Klebsiella pneumoniae was the most common pathogen in patients with diabetes companied with pyogenic hepatic abscess, choosing antibiotics reasonably according to the distribution of pathogen susceptibility.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/42094
Appears in Collections:北京大学第一临床医学院_急诊科_期刊论文

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作者单位: 北京大学第一医院急诊科,北京,100034
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