我院近五年收治小儿菌痢２０３１例，培养分离出痢杆菌９８５珠，其中福氏９０４株，占９１．７８％，全部为福氏２ａ型，宋内氏８１株，占８．２２％。常见抗菌药物如氨苄青霉素、氯霉素、痢特灵的耐药性均达９５％以上，庆大霉素、吡哌酸、氟哌酸、丁胺卡那霉素、卡那霉素的耐药性逐年升高；头孢噻肟、环丙沙星耐药率也迅速增加。目前重庆地区治疗小儿菌痢宜推荐先锋霉累Ｖ、环丙沙星、头孢噻肟、卡那霉素，待有药敏试验结果后结合临床效果进行调整。 In our hospital in the past five years, 2031 cases of pediatric dysentery were enrolled in this study. 985 beads were isolated and cultured, of which 904 were Freund’s, accounting for 91.78% of the total. All of them were Type 2a and 81, accounting for 8.22% . Common antibacterial drugs such as ampicillin, chloramphenicol, furazolidone resistance were up to 95%, gentamicin, pipemidic acid, norfloxacin, amikacin, kanamycin resistance Drug resistance increased year by year; cefotaxime, ciprofloxacin resistance rate also increased rapidly. Current treatment of pediatric bacillary dysentery in Chongqing should recommend Pioneer mold tired V, ciprofloxacin, cefotaxime, kanamycin, pending drug sensitivity test results combined with clinical results to be adjusted.