多重感染性腹膜炎的分类及防治

肾脏病与透析肾移植杂志 ›› 2011, Vol. 20 ›› Issue (2): 181-183.

多重感染性腹膜炎的分类及防治

出版日期:2011-04-28 发布日期:2011-06-02

Classification, Prevention and Treatment of Polymicrobial Peritonitis

Online:2011-04-28 Published:2011-06-02

摘要/Abstract

摘要：

多数腹膜透析患者的腹膜炎为单一病原微生物感染，由多种病原微生物感染者少见，其发病机制不明，很可能由腹部疾病所致，并可能与早期使用广谱抗生素导致的肠道菌群失调相关。真菌和细菌混合性感染的腹膜炎预后较差、治愈率低、复发率高，早期诊断、尽早针对性治疗尤为重要。

关键词: 腹膜透析 , 腹膜炎 , 多重感染 , 真菌

Abstract:

Peritoneal dialysis (PD)-associated peritonitis was usually caused from single-organism. Polymicrobial peritonitis was associated with a significantly lower frequency. The pathogenesis remains unclear. It was likely attributed to abdominal diseases，and may be attributed to the enteric dysbacteriosis caused by early usage of wide-spectrum antibiotics. Peritonitis mixed with fungi and bacteria has bad prognosis, low cure rate and high recurrence rate. Early diagnosis and pertinent therapy are particularly important.

Key words: Peritoneal dialysis , Peritonitis , Multiplicity of infection , Fungi

薄其凤, 梅小斌, 郭志勇. 多重感染性腹膜炎的分类及防治[J]. 肾脏病与透析肾移植杂志, 2011, 20(2): 181-183.

BO Qifeng, MEI Xiaobin, GUO Zhiyong. Classification, Prevention and Treatment of Polymicrobial Peritonitis[J]. Chinese Journal of Nephrology, Dialysis & Transplantation, 2011, 20(2): 181-183.

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