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本专题讨论会由Polk HC Jr(Louisville大学)主持,Fry D(Case Western Reserve大学)、Pitt HA(Johns Hopkins大学)和Smith JS(Pennsylvania州立大学)参加讨论。现根据座谈记录作一综合报道。胆道内的细菌急性胆囊炎作早期手术时的胆汁培养阳性率非常低,部分可能与术前用抗生素有关。随着手术时机的推迟,阳性率便升高,24～72小时为22％,以后升至50～60％。最多见的细菌依次为大肠杆菌、克雷白氏杆菌属、变形杆菌属、肠球菌等需氧菌,然后为厌氧的拟杆菌属和梭状芽胞杆菌属,大多为革兰氏阴性菌。
This symposium was chaired by Polk HC Jr (University of Louisville), Fry D (Case Western Reserve University), Pitt HA (Johns Hopkins University), and Smith JS (Pennsylvania State University). Now based on the forum record for a comprehensive report. Bile duct bacterial acute cholecystitis for early surgery bile culture positive rate is very low, some may be related to preoperative antibiotics. With the postponement of the timing of surgery, the positive rate increased, 22% for 24 to 72 hours and then to 50 to 60%. The most common bacteria were Escherichia coli, Klebsiella, Proteus, Enterococcus and other aerobic bacteria, and then anaerobic Bacteroides and Clostridium, mostly Gram-negative bacteria.