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肺部感染是临床最常见的感染疾病之一,本文认为肺部厌氧菌感染不能忽视,特别是经反复应用抗生素疗效不佳,甚至无效的“慢支”、“支扩”并感染患者,宜及早诊断和给予扰厌氧菌治疗.本文报告4例病史最长39年,最短7年的“支扩”患者,反复化脓感染均经各种抗生素,有的尚合并抗霉菌治疗疗效都不佳或无效.痰色混杂,痰味恶臭,予以灭滴灵0.4tid 或5%甲硝达唑200～300ml 静滴,痰量迅速由300～500ml/日减为5ml,痰色变白.其中一例病史长达30年,经合并抗厌氧菌治疗后,二年余未再复发.目前,认为需氧菌与厌氧菌的协同致病作用,是一般抗生素疗效不显的原因。
Pulmonary infection is one of the most common infectious diseases in clinical practice. This paper argues that anaerobic pulmonary infection in the lung can not be neglected, especially after repeated application of antibiotics with poor curative effect and even invalid chronic bronchitis, Should be diagnosed early and given to the treatment of anaerobic bacteria.This article reports 4 cases of the longest history of 39 years, the shortest 7 years of “branch expansion” patients, repeated infections of the pus are all antibiotics, and some are still anti-fungal treatment efficacy are not Good or ineffective sputum color mixed, phlegm stench to be metronidazole 0.4tid or metronidazole 200 ~ 300ml intravenous infusion, sputum volume rapidly from 300 ~ 500ml / day reduced to 5ml, sputum color white. A case history up to 30 years, after combined anti-anaerobic bacteria treatment, more than two years no recurrence.At present, that aerobic bacteria and anaerobic bacteria synergistic pathogenic role, the general effect of antibiotics is not obvious reason.