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用Menghini法作快速肝活检的并发症发生率为0.29~0.32%,死亡率为0.015~0.017%。除常见的并发症外,近来观察到并发菌血症及急性暂时性低血压。菌血症Mc Closkey等对69例肝穿刺的住院病人作了详细研究,于穿莉前、穿刺后15分钟、2、4及6小时分别用3种方法作血培养;穿刺针冲洗液及肝组织亦分别进行培养。至少有2种方法连续2次血培养获同一种致病菌者列为阳性,某1种方法1次培养有细菌生长者则列为污染。 69例穿刺前血培养均阴性,活检后4例发生菌血症。原有肝炎的2例,分别查获大肠杆菌、肺炎杆菌属,均于4小时内消失,而肝组织培养则均阴性。胆
The complication rate of rapid liver biopsy with Menghini method was 0.29 ~ 0.32%, and the mortality rate was 0.015 ~ 0.017%. In addition to common complications, concurrent bacteremia and acute temporary hypotension have recently been observed. Bacteremia Mc Closkey and other 69 cases of liver biopsy inpatients were studied in detail, before wearing Li, 15 minutes after puncturing, 2, 4 and 6 hours were used for blood culture in three ways; puncture needle wash fluid and liver The organizations also carry out training separately. At least two methods were listed as positive for the same type of pathogen for two consecutive blood cultures, and one for one culture for bacterial growth was classified as contamination. 69 cases of blood culture before puncture were negative, biopsy occurred in 4 cases of bacteremia. Two of the original hepatitis, were seized Escherichia coli, Klebsiella pneumoniae, were disappeared within 4 hours, while the liver tissue were negative. Guts