Zheng C, Jia C, Shi Y
Department of General Surgery, Chinese Traditional Medicine Hospital, Tangyuan County, Heilongjiang 154700, China.
Zhonghua Wai Ke Za Zhi. 2000 Mar;38(3):176-8.
To determine whether hemorrhagic shock (HS) increases the occurrence of bacterial translocation (BT).
100 patients were divided into 4 groups: control group (group I, 34 patients); group with hemorrhagic shock (HS) caused by closed blunt abdominal trauma (group II, 23); group caused by closed blunt abdominal trauma without HS (group III 15); and group with HS caused by intra-abdominal viscus hemorrhage (group IV 28). Preoperative and postoperative samples were taken from peripheral blood, visceral peritoneal swab, portal vein blood, ileal mesenteric lymph node, liver and spleen biopsy respectively for aerobic and anaerobic culture.
The positive culture rates of these groups were 6%, 65%, 13%, 68% respectively. The difference between the control and experimental groups was significant(P < 0.05). The difference was also significant between group I and II and between I and IV (P < 0.01), whereas it was not significant between I and III, and between II and IV (P > 0.05).
HS increases the occurrence of BT.
确定失血性休克（HS）是否会增加细菌移位（BT）的发生率。
100例患者分为4组：对照组（I组，34例患者）；闭合性钝性腹部创伤所致失血性休克组（II组，23例）；闭合性钝性腹部创伤但无失血性休克组（III组，15例）；腹腔脏器出血所致失血性休克组（IV组，28例）。分别于术前和术后采集外周血、内脏腹膜拭子、门静脉血、回肠系膜淋巴结、肝脏和脾脏活检样本进行需氧和厌氧培养。
这些组的培养阳性率分别为6%、65%、13%、68%。对照组与试验组之间差异有统计学意义（P<0.05）。I组与II组之间以及I组与IV组之间差异也有统计学意义（P<0.01），而I组与III组之间以及II组与IV组之间差异无统计学意义（P>0.05）。
失血性休克会增加细菌移位的发生率。
