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目的 对58 例肺结核继发卡他莫拉氏菌感染进行分析,探讨肺结核继发该菌感染的特点。方法 采用经口痰菌定量法,依Doerm 标准鉴定;肺部有明显湿罗音,排除其它致病菌感染。结果 肺结核极易合并该菌感染,临床及X 线无特征,外周血WBC 仅43 % 高于正常。结论 肺结核病人出现不好解释的与原发疾病不相称的发热,咯黄脓痰,同时肺部出现明显湿罗音或罗音增加,经培养排除其它致病菌感染,要警惕卡他莫拉氏菌感染的可能。为迅速控制感染,使用β内酰胺酶抑制剂治疗效果较好。
Objective To analyze the infection of Moraxella catarrhalis in 58 cases of pulmonary tuberculosis and explore the characteristics of the infection of the bacteria secondary to tuberculosis. Methods Oral sputum quantitative method, according to Doerm standard identification; lungs have obvious wet rales, excluding other pathogenic bacteria infection. Results Pulmonary tuberculosis easily infected with the bacteria, clinical and X-ray features, only 43% of peripheral blood WBC than normal. Conclusions Tuberculosis patients have a fever which is not commensurate with the primary disease, slightly purulent sputum. At the same time, there is obvious increase of pulmonary rales or rales in the pulmonary tuberculosis patients. After culturing to exclude other pathogenic bacteria infection, we should guard against catarrhalla Fungal infection possible. For the rapid control of infection, the use of β lactamase inhibitor treatment is better.