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关于用各种不同培养基的快速脲酶试验诊断Campylobacter Pylori 感染的灵敏度和特异性有许多报道,但对该试验跟踪C pylori 根除的作用很少注意。作者用溴麝香草酚蓝取代酚红作指示剂的改良的1分钟内窥镜检查室试验和一种Campylobac-ter 样的有机体(CLO)凝胶试验来诊断C pylori 感染,叙述了快速脲酶试验与TDB(一种抗溃疡药)和其它常用抗溃疡药间的相互作用。经1分钟脲酶试验和培养,7名患者(十二指肠溃疡3例,胃溃疡1例,反流性食管炎1例,胃窦炎2例)有C Pylori 感染症状。给予TDB 一日二次,每次240mg,二周后重新检查。奇怪的是二周后再检所有患者的快速脲酶试验阳性但3名用TDB的患者作C pylori 培养。
There are many reports on the sensitivity and specificity of the rapid urease test for diagnosis of Campylobacter Pylori infection using various media but little attention has been paid to the efficacy of this test in tracking C pylori eradication. The authors diagnosed C pylori infection with a modified 1-minute endoscopy test using bromothymol blue instead of phenol red and a Campylobacter-like organism (CLO) gel assay, describing the rapid urease test Interaction with TDB (an antiulcer drug) and other common antiulcer drugs. After 1 minute urease test and culture, 7 patients (3 cases of duodenal ulcer, 1 case of gastric ulcer, 1 case of reflux esophagitis, 2 cases of antral gastritis) had symptoms of C Pylori infection. TDB given twice a day, each 240mg, two weeks after the re-examination. Curiously, all patients were tested for fast urease test again two weeks later and three patients with TDB were cultured for C pylori.