摘要
目的探讨腹膜透析并发腹膜炎的临床病因及防治措施。方法本组共39例腹膜透析并发腹膜炎患者,其中男性患者15例,女性患者24例,年龄在31-76岁之间,平均年龄为63岁。其中,慢性肾小球肾炎患者为22例,糖尿病肾病患者为12例,高血压肾损害3例,慢性间质性肾炎2例。结果本组39例患者当中,行腹透液培养,培养出细菌25例,阳性率达64.1%。其中革兰阳性球菌11例、革兰阴性杆菌13例、真菌1例。革兰阳性球菌中表皮葡萄球菌6例,金黄色葡萄球菌3例,屎肠球菌2例,革兰阴性杆菌中大肠埃希菌7例,肺炎克雷伯菌3例,鲍曼氏不动杆菌2例,阴沟肠杆菌1例,其中2例大肠埃希菌为多重耐药菌（EBLS＋）,屎肠球菌为多重耐药,其中治愈38例,拔管1例。结论有效地避免各种感染因素,对于预防腹膜炎的发生及其重要,头孢唑啉联合氨基糖苷类抗生素可作为首选方案。
Objective To explore the clinical etiology and peritoneal dialysis with peritonitis prevention measures. Methods A total of 39 patients with peritoneal dialysis with peritonitis, of which 15 patients with male and female patients with 24 patients, aged between 31-76, the average age was 63 years old. Among them, in 22 patients with chronic glomerulonephritis, 12 patients with diabetic nephropathy, 3 cases of hypertensive renal impairment, chronic interstitial nephritis in 2 cases. Results Among 39 patients, abdomen through liquid culture, cultivate bacteria 25 cases, positive rate was 64.1%. Of which 11 cases were gram positive coccus, gram negative bacillus in 13, fungi in 1 case. Gram positive coccus in 6 cases by staphylococcus epidermidis and staphylococcus aureus in 3, excrement enterococcus in 2 cases, gram negative bacilli in 7 cases of e. coli, klebsiella pneumoniae （3 cases）, bowman＆#39;s acinetobacter in 2 cases, sewer enterobacter in 1 case, 2 cases of e. coli for multiple drug-resistant bacteria （EBLS＋）, excrement enterococcus for multiple drug resistance, 38 cases were cured, 1 tube drawing. Conclusion Effectively avoid all kinds of infection factors, to prevent the happening of the peritonitis and its important, cefazolin joint aminoglycoside antibiotics can be used as the preferred solution..
出处
《中国卫生产业》
2014年第22期10-11,共2页
China Health Industry
关键词
腹膜透析
相关性腹膜炎
细菌感染
Peritoneal dialysis
Correlation peritonitis
Bacterial infections
