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近年来化脓性外科感染病原体的结构上发生了很大变化,肠道菌属感染的比例增大.在病灶中常常分离出革蓝氏阴性的绿脓杆菌和变形杆菌.其感染特点为病程迁延,创口愈合迟缓和常常发生脓毒症.本文着重报道变形杆菌在各种化脓性创伤的发病机制中的作用及其抗生素疗法.细菌学检查材料取自各种化脓性创伤的543例患者,其中外伤后化脓性感染112例;原发性软组织化脓性感染183例;慢性化脓性疾病术后创口化脓性感染98例;脓毒症60例.
In recent years, the structure of purulent surgical pathogens has undergone great changes, the proportion of intestinal infection is increased in the lesions are often isolated from negative Gram-negative Pseudomonas aeruginosa and Proteus, the infection characterized by prolonged course , Wound healing is delayed and sepsis often occurs.This article focuses on the role of Proteus in the pathogenesis of various suppurative wounds and its antibiotic therapy.The bacteriological examination materials were taken from 543 patients with various suppurative wounds, There were 112 cases of post-traumatic purulent infection, 183 cases of primary soft tissue suppurative infection, 98 cases of post-septic purulent infection of chronic suppurative disease and 60 cases of sepsis.