[治疗性内镜检查中的菌血症]
[Bacteremia in therapeutic endoscopy].
作者信息
Stöppel G, Rösch W
机构信息
Medizinische Klinik, Stiftung Hospital zum Heiligen Geist, Frankfurt/Main.
出版信息
Fortschr Med. 1990 Feb 28;108(6):100, 101-2.
In a prospective study of 70 patients undergoing therapeutic endoscopy, the incidence of bacteremia was established. It was observed in 20 after bougienage, 30% after the placement of an endoprosthesis, 15% after endoscopic sphincterotomy, and 25% after percutaneous biliary drainage. Although clinical symptoms were observed in only a few of these patients, perioperative antibiotic therapy is recommended in elderly patients with malignant diseases, diabetes mellitus, renal insufficiency or liver disorders.
在一项对70例接受治疗性内镜检查患者的前瞻性研究中，确定了菌血症的发生率。扩张术后有20例出现菌血症，放置内置假体后为30%，内镜括约肌切开术后为15%，经皮胆道引流术后为25%。尽管只有少数患者出现临床症状，但对于患有恶性疾病、糖尿病、肾功能不全或肝脏疾病的老年患者，建议进行围手术期抗生素治疗。
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