北京地区副溶血弧菌肠炎90例临床分析

Clinic Analysis on 90 Cases of Enteritis by Vibrio Parahemolyticus in Beijing Area

副溶血弧菌引起的急性腹泻日益受到人们的关注。近年来国内有关副溶血弧菌肠炎报道多来自沿海地区和城市,内陆地区尚少见报道。我们对1996年7～9月在我院肠道门诊就诊的1221例急性腹泻病人粪便进行副溶血弧菌的分离检测。

It is increasingly noticed that vibrio parahemolyticus causes acute diarrhea. Most cases with diarrhea by vibrio parahemolytious in the reports are from areas around sea and cities, few come from inland areas. 1212 outpatients with acute diarrhea were analyzed from July to September in 1996. 542 strains of pathogenic bacterial were isolated, the positive rate of vibrio parahemolyticus was 16. 6% (90/542). This showed that the infection of vibrio parahemolyticus is more in inland areas. In order to explain the clinic characteristics of diarrhea caused by vibrio parahemolyticus, 90 cases of acute bacterial diarrhea (ABD) were seen as control group. There were 69 male patients and 21 female patients in observed group, whose mean age was 32. 4 years old (12～72). 61 (67. 78%) cases were from Beijing (32. 22%). It was difficult that identified the different clinic features between ADB and enteritis by vibrio parahemolyticus 64 (71. 11%) cases had been initially misdiagnosed as ABD. There was not obvious difference in faeces between the two groups. The incidences of gripping pain and vomiting were more often seen in vibrio parahemolyticus than in ABD, the incidence of fever, rectal tenesmus and tenderness on left lower abdomen were not obvious different between two groups. The results showed that diarrhea patients with obvious vomiting and vibrio parahemolyticus gripping pain should be considered enteritis of vibrio parahemolyticus. Although vibrio parahem- olyticus has strong resistance against medicines, it is sensitive to quilotone.