论文部分内容阅读
使用内窥镜检查下消化道是否有导致菌血症的可能性,各家报道结果不一。为此,作者对51例患者进行前瞻性研究。结肠镜检查的51例患者中,把高热超过101°F、炎症性小肠病、腹泻、心瓣膜病、人工血管修复术后化疗或使用免疫抑制药的患者除外。在检查前、检查开始后1分钟、5分钟和20分钟以及检查完成后5分钟,分别取静脉血样作厌氧菌和需氧菌培养。每当活检或息肉摘除时,增加取样培养,在静脉穿刺处作皮肤培养。结果:51例中的11例患者在作息肉摘除(7例11次)或活检组织检查(4例5次)后1分钟血培养均阴性。8例血培养为阳性,其中2例血培养与皮肤相同,2例
The use of endoscopy to check whether there is the possibility of digestive tract bacteremia, each reported different results. To this end, the authors conducted a prospective study of 51 patients. Of 51 patients with colonoscopy, those with hyperthermia over 101 ° F, inflammatory bowel disease, diarrhea, valvular heart disease, postoperative chemotherapy with revascularization or immunosuppressive drugs were excluded. Before the test, 1 minute, 5 minutes and 20 minutes after the start of the test, and 5 minutes after the test was completed, venous blood samples were taken anaerobes and aerobic cultures respectively. Whenever the biopsy or polyp removal, increase the sampling culture, in the venipuncture for skin culture. RESULTS: Of the 51 patients, 11 were negative for blood culture at 1 minute after polyp removal (11 in 7 cases) or biopsy (4 in 5 cases). Eight blood cultures were positive, two of whom had the same blood culture as the skin, two