Inoue H, Yoshino K, Takiguchi T, Kawano T, Yamazaki S, Goseki N, Endo M
First Department of Surgery, Tokyo Medical and Dental University, School of Medicine, Japan.
Nihon Geka Gakkai Zasshi. 1988 Jul;89(7):1122-6.
The 65-year-old male patient of esophageal cancer before operation suffered from lobar pneumonia. Bacteriological examination identified MRSA in his sputum and catheter tip. None of the cefem type antibiotics were effective, but CLDM and MINO were so much effective against that. We studied 47 cases of esophageal cancer which received operation last year. In many bacteria which were identified in the sputum and pus, MRSA occupied 30% as well as Pseud. aeruginosa. In the preoperative period enteral nutrition (ED) may be acceptable, if possible, as nutritional support alternative to TPN.
这位65岁的男性食管癌患者术前患有大叶性肺炎。细菌学检查在其痰液和导管尖端发现了耐甲氧西林金黄色葡萄球菌（MRSA）。头孢菌素类抗生素均无效，但氯碳头孢（CLDM）和米诺环素（MINO）对此非常有效。我们研究了去年接受手术的47例食管癌患者。在痰液和脓液中鉴定出的多种细菌中，MRSA和铜绿假单胞菌均占30%。在术前阶段，如果可能的话，肠内营养（ED）作为全胃肠外营养（TPN）的替代营养支持可能是可以接受的。
