同种异体肝移植合并肺部感染细菌学分析

Bacteriologic Analysis of Pulmonary Infection in Homologous Liver Transplantation

目的:回顾性分析同种异体肝移植合并肺部感染细菌学的特点.方法:对1999年6月至2003年10月收治的22例肝移植病例的术后咽拭子、痰液、血液细菌培养结果进行统计分析.结果:咽拭子、痰液培养阳性率明显高于血液,咽拭子、痰液培养两种方法之间无差别,主要为念珠菌、表皮葡萄球菌、光滑球拟酵母菌、草绿色链球菌、粪链球菌、肺炎克雷伯杆菌.结论:同种异体肝移植合并肺部感染主要以革兰氏阳性球菌和真菌为主.

Objective： Bacteriologic characteristic of pulmonary infection in the homologous liver transplantation. Methods： Pharynx swab, sputum and blood bacterial culture from 22 cases of liver transplantation in 1999.6 to 2003.10 were analyzed. Results： Positive rate of pharynx swab, sputum was significantly higher than that of blood bacterial culture. Monilia, Staphylococcus epidermidis, Torulopsis glabrata, Streptococcus viridans, fecal streptococci, Klebsiella pneumoniae were involved in. Conclusion： Eumycete and gram-strained masculine coccus are main bacteria involved in the homologous liver transplantation.