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目的 探讨肺炎克雷伯杆菌肠炎的临床特征、治疗方法及防治对策。方法 对经粪便细菌培养证实的 5 2例小儿迁延性、慢性肺炎克雷伯杆菌肠炎的临床资料进行回顾性分析。结果 14 1例迁延性、慢性腹泻患儿粪便标本中 ,肺炎克雷伯杆菌 5 2例 ,检出率 36 9% ;5 2例病例中 ,2岁以下婴幼儿占 76 9% ;治疗选用庆大霉素、金双歧、醒脾养儿颗粒三联口服 ,效果肯定。结论 肺炎克雷伯杆菌是引起小儿长期腹泻的主要致病菌之一 ,易引起 2岁以下婴幼儿迁延性、慢性腹泻 ,且临床症状不典型 ;治疗上强调调整肠道微生态平衡 ,加强支持治疗 ,必要时选用敏感抗生素 ,防止滥用广谱抗生素及糖皮质激素。
Objective To investigate the clinical features, treatment and prevention of Klebsiella pneumoniae enteritis. Methods The clinical data of 52 cases of persistent and chronic Klebsiella pneumoniae enteritis confirmed by fecal bacterial culture were retrospectively analyzed. Results 14 cases of persistent and chronic diarrhea in children stool samples, Klebsiella pneumonia in 52 cases, the detection rate of 36 9%; 5 2 cases, infants under 2 years of age accounted for 76 9%; treatment of choice Antacids, gold Bifidobacterium, Yangpi granule triple oral administration, the effect is affirmed. Conclusions Klebsiella pneumoniae is one of the major pathogenic bacteria that causes chronic diarrhea in children. It is apt to cause persistent and chronic diarrhea in infants younger than 2 years old, and the clinical symptoms are not typical. Treatment emphasizes the regulation of gut microecology and supports Treatment, when necessary, the use of sensitive antibiotics to prevent the abuse of broad-spectrum antibiotics and glucocorticoids.