Krotov N F, Shaumarov Z F, Islamov M S, Ismailov A S, Sergina A P
Klin Khir (1962). 1992(9-10):47-9.
The results of complex bacteriologic examination of 62 patients with acute bacterial destruction of the lungs during the process of treatment were analysed. The complex of investigations included the express methods (bacterioscopy, studies in the ultraviolet light, chromatography-mass spectrometry), inoculation under aerobic and anaerobic conditions. A role of anaerobic non-clostridial infection in the development of acute pulmonary destruction, polymicrobial character of microflora are shown. It was established that complex conservative therapy with inclusion of the methods for drainage of the cavities of destruction, prolonged intraarterial infusion, aimed antibacterial therapy permitted to achieve rapid suppression of microflora, its anaerobic component in particular. In chronization of the disease, the gram-negative aerobic flora is playing the leading part in its pathogenesis.
对62例急性细菌性肺毁损患者治疗过程中的复杂细菌学检查结果进行了分析。检查项目包括快速检测方法(细菌镜检、紫外线研究、色谱-质谱联用)、需氧和厌氧条件下的接种培养。结果表明了厌氧非梭菌感染在急性肺毁损发展中的作用以及微生物群落的多菌性特征。已证实,采用包括毁损腔引流方法、延长动脉内输注、针对性抗菌治疗在内的综合保守疗法能够迅速抑制微生物群落,尤其是其厌氧成分。在疾病慢性化过程中,革兰氏阴性需氧菌在发病机制中起主导作用。