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本文报告176例肺心病急性发作期痰菌培养及抗感染疗效。在217例次痰菌培养中,主要致病菌为:革兰氏阳性球菌31例次,占14.3％;阴性杆菌47例次,占21.6％;白色念珠菌生长17例次,占7.8％。其中以绿脸杆菌生长占首位,共32例次,占14.17％。部份病例药敏试验结果:金葡菌部份对红、氯霉素及卡那霉素敏感;革兰氏阴性杆菌对氨基甙类及氯霉素的敏感及耐药各占50％,而绿脓杆菌除少数对庆大、链及氯霉素敏感外,对常用抗菌素大多耐药。疗效以青霉素为主的联用较满意,本文推荐青霉素+氨基甙类(链、庆大、卡那霉素)作为首选,其次是青+氯霉素;对绿脓杆菌治疗以羧苄青霉素联合庆大或丁胺卡那霉素,并配合雾化吸入疗效满意。
This article reports 176 cases of pulmonary heart disease acute sputum culture and anti-infection effect. In 217 sputum culture, the main pathogenic bacteria were: Gram-positive cocci 31 cases, accounting for 14.3%; 47 cases of negative bacilli, accounting for 21.6%; Candida albicans 17 cases, accounting for 7.8%. Among them, the growth of green face bacilli accounted for the first place, a total of 32 cases, accounting for 14.17%. Some cases of susceptibility test results: Staphylococcus aureus part of the red, chloramphenicol and kanamycin sensitive; Gram-negative bacilli of aminoglycosides and chloramphenicol sensitivity and resistance each accounted for 50%, and In addition to a small number of Pseudomonas aeruginosa large, chain and chloramphenicol sensitive, mostly resistant to commonly used antibiotics. Penicillin + aminoglycosides (chain, Qingda, kanamycin) as the first choice, followed by green + chloramphenicol; Pseudomonas aeruginosa treatment with carbenicillin combination Qing large or amikacin, and with the inhalation effect of satisfactory.