论文部分内容阅读
1988～1995年,我们施行食管癌切除462例,术后并发假膜性肠炎4例,现报告如下。 临床资料:病人年龄44～65岁,假膜性肠炎发生于术后3～15天。所用抗生素为氨苄青霉素2例,青霉素加卡那霉素、先锋霉素各1例。大便颜色呈海水样、暗褐色各1例,黄色2例;大便量1000～5000ml/d,便次10～30次/d;大便染色为阳性球菌2例,阴性杆菌及未做各1例;细菌培养为金葡菌2例,无致病菌及未做各1例。经治疗治愈3例,死亡1例。
From 1988 to 1995, we performed 462 cases of esophageal cancer resection and 4 cases of postoperative pseudomembranous colitis. The present report is as follows. Clinical data: The patient’s age was 44 to 65 years, and pseudomembranous colitis occurred 3 to 15 days after surgery. Antibiotics used were ampicillin in 2 cases, penicillin plus kanamycin, and cephalosporin in 1 case. The color of the stool was seawater-like, dark brown in 1 case, yellow in 2 cases, stool volume in 1000-5000 ml/d, 10-30 times per day, stool staining in 2 cases of positive coccus, and negative bacilli in 1 case; Bacteria were cultured in 2 cases of Staphylococcus aureus, no pathogenic bacteria and 1 case each. After treatment, 3 cases were cured and 1 died.