细菌与急性结石性胆囊炎

Bacteria and acute calculosis cholecystitis

目的研究细菌在急性结石性胆囊炎发病过程中的作用。方法2004年10月￣2005年10月对该院112例发病1周以内行胆囊切除术的急性结石性胆囊炎病例手术时抽取胆汁送细菌培养。结果急性结石性胆囊炎发病1周内手术病例的胆汁送细菌培养阳性率为21.43%,其中发病72d内手术的细菌培养阳性率为10.45%;72h至1周手术细菌培养阳性率为37.78%。结论急性结石性胆囊炎早期手术治疗可减少细菌感染的发生率;对有手术禁忌症非手术治疗者可选用对常见致病菌敏感性较高的抗生素。

[ Objective] Bacterial was studied in acute calculosis cholceystitis. [Methods ] Biliary bacterial culture was studied in 112 patients operated on acute calculosis cholecystitis in our hospital from 2004/10 to 2005/10. [Results] The gallbladder bile cultures showed incidence of bactibilia in patients operated within one week of the onset of acute calculosis cholecystitis （21.43%）. Incidence （10.45%） was found only in the group receiving in 72 hours. Incidence （37.78%） was found only in the group receiving in 72 hours to one week. [Conclusion] The early operation may reduce incidence of bactibilia in acute calculosis cholecystitis. Non-operation may select sensitive antibiotics of frequent bacteria in no-no operations .