摘要
对56例手术治疗的急性阑尾炎进行了前瞻性的细菌学研究。结果提示引起阑尾炎的病原菌都是消化道内的正常菌群,且绝大部分为多菌性的混合感染,其中需氧菌以大肠杆菌等革兰氏阴性杆菌为主,而厌氧菌则以脆弱群拟杆菌多见,其次是各种消化链球菌。通过对全部需氧菌及部分厌氧菌作抗生素敏感试验,认为应以庆大霉素+甲硝唑为治疗急性阑尾炎的首选、常规药物。
The bacteriology of acute append-icitis Was studied prospectively in 56patients performed appendectomy.Theresults showed that all the organismscausing acute appendicitis were norm-al flora of gastrointestinal tract.Am-ong the aerobes isolated,most of themwere Gram-negative bacilli such asE.coli,etc.But B.distasonis andvarious Peptostreptococcus were mostlyisolated in anaerobic culture.The ma-jority of cases were mixed infectionsinvolved both aerobes and anaerobesAntibiotics susceptibility test of allaerobes and a part of anaerobes wereperformed and according to that,Weconsidered that Gentamicin plus Met-ronidazole should be regarded as thefirst and routine drugs for acuteappendicitis treating.
