摘要
目的 对58 例肺结核继发卡他莫拉氏菌感染进行分析,探讨肺结核继发该菌感染的特点。方法 采用经口痰菌定量法,依Doerm 标准鉴定;肺部有明显湿罗音,排除其它致病菌感染。结果 肺结核极易合并该菌感染,临床及X 线无特征,外周血WBC 仅43 % 高于正常。结论 肺结核病人出现不好解释的与原发疾病不相称的发热,咯黄脓痰,同时肺部出现明显湿罗音或罗音增加,经培养排除其它致病菌感染,要警惕卡他莫拉氏菌感染的可能。为迅速控制感染,使用β内酰胺酶抑制剂治疗效果较好。
Objective 58 case of pulmonary tuberculosis complicating with moraxella catarhalis were analyzed to demontrate the characteristics of this infection.Method We use Doerm creteria to quantify the bacteria in sputum,three times consecutively.Result Pulmonary tubercuiosis is easily complicated by the bacteria.The clinic and X_ray manifestation were short of feature,and only 43% with high blood cell count.Conclusion Pulmonary tuberculosis patients with unexplained fever,purulent sputum and newly_appeared moist rales in the lung,moraxella becteria infection should be alert of,β_lactamase inhibitors must recommended to control the infection.
出处
《中国防痨杂志》
CAS
1999年第4期201-202,共2页
Chinese Journal of Antituberculosis