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在七十年代以前,人们对急性阑尾炎穿孔引起的腹膜炎和阑尾脓肿,只知是需氧菌感染,而忽略了厌氧菌的作用。近年来随着厌氧菌培养技术的进展,发现厌氧菌的感染遍及临床各个领域,才对厌氧菌及其重要性有所认识,因而在抗生素选用方面也有所改进,以便有效地控制感染。我院自1980至1983年间,对小儿穿孔性阑尾炎病例进行细菌学检查,作需氧菌和厌氧菌培养,术后应用灭滴灵等药物控制感染,取得明显效果,现介绍于后。临床资料和细菌学检查结果一、病例本组在4年间共收治穿孔性阑尾炎97例,年龄在2～12岁间,其中49例随意选择进行细菌学检查。二、标本收集和送检在阑尾切除手术过程中,
In the seventies, people perforation caused by acute appendicitis peritonitis and appendix abscess, known only as aerobic infections, while ignoring the role of anaerobic bacteria. In recent years, with the progress of anaerobic culture technology, anaerobic infections have been found in all clinical areas before being aware of anaerobic bacteria and their importance, and thus have been improved in the selection of antibiotics in order to effectively control the infection . Our hospital from 1980 to 1983, the cases of children with perforated appendicitis bacteriological examination for aerobic and anaerobic culture, after the application of metronidazole and other drugs to control infection, and achieved significant results, are introduced later. Clinical data and bacteriological examination results First, the case of the group received a total of 97 cases of perforated appendicitis in 4 years, aged 2 to 12 years old, of which 49 cases were randomly selected for bacteriological examination. Second, the collection and submission specimens in the appendectomy surgery,