128例急性胆囊炎患者胆汁细菌培养分析

Bile Bacterial Culture Analysis on 128 Cases with Acute Cholecystitis

目的探讨急性胆囊炎患者的细菌感染情况。方法对牡丹江市第一人民医院128例发病1周内行胆囊切除术的急性胆囊炎病例手术时抽取胆汁送细菌培养,并对培养结果进行分析。结果急性胆囊炎发病1周内手术病例的胆汁细菌培养阳性率为53.9%,其中发病72 h内手术的细菌培养阳性率为30.7%;72 h至1周手术细菌培养阳性率为86.8%。结论急性胆囊炎早期手术治疗可减少细菌感染的发生率;对有手术禁忌证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 To research the bacterial infection of patients with acute cholecystitis.Methods Bile samples taken from the patients with acute cholecystitis in the first people′s hospital of Mudanjiang,the operation was performed by laparoscopic cholecystectomy within one week,and send the sample for the bacterial culture.Culture results were analyzed.Results Positive rate of the bile bacterial culture was 53.9%,30.7%,86.8% respectively in patient,of which the operation was performed by laparoscopic cholecystectomy within one week,72 hours,and 72 hours to one week.Conclusion Early surgical treatment of acute cholecystitis can reduce the incidence of bacterial infection;antibiotics with higher sensitivity to bacteria may be applied in the treatment for non-surgical patients with contraindication for surgical treatment.