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目的 探讨成人非特异性慢性泪囊炎的细菌谱和细菌对常用性抗生素的敏感性。方法 对158例162只成人非特异性慢性泪囊炎的泪囊分泌物取样进行细菌培养、分离、鉴定和药物敏感试验。结果 162份标本中130份有细菌生长,分离出细菌154株,其中专性需氧菌33株(21.4％),兼性厌氧菌72株(46.8％),厌氧菌49株(31.8％),霉菌1株。前三类细菌都对先锋霉素类药物有较高的敏感性。结论 在成人非特异性慢性泪囊炎中除以往被认定的大部分细菌外,少数细菌已不再占感染的重要位置,相反以前未被认定的厌氧菌已在本病中占有显著地位。药敏试验表明各类细菌都对先锋霉素类药物有较高的敏感性,其它药物作用均较差。
Objective To investigate the bacterial spectrum of non-specific chronic dacryocystitis in adults and the sensitivity of bacteria to commonly used antibiotics. Methods 158 cases of 162 adult non-specific chronic dacryocystitis lacrimal sac secretions samples for bacterial culture, isolation, identification and drug sensitivity test. Results Of the 162 specimens, there were bacteria growth and 154 bacteria were isolated, of which 33 were obligate aerobic bacteria (21.4%), 72 (46.8%) were facultative anaerobe, 49 (31.8% ), Mold 1 strain. The first three types of bacteria are highly sensitive to the Vanguard ADM. Conclusion In addition to the majority of bacteria that have been identified in adult non-specific chronic dacryocystitis, a few bacteria no longer account for the important position of infection. On the contrary, previously unidentified anaerobic bacteria have occupied a prominent position in this disease. Susceptibility tests showed that all kinds of bacteria are highly sensitive to the pioneermycin class of drugs, other drugs are poor.