经皮肺穿刺抽吸术在成人肺炎细菌学诊断中的作用。

The role of percutaneous lung aspiration in the bacteriological diagnosis of pneumonia in adults.

作者信息

Barnes D J, Naraqi S, Igo J D

机构信息

University of Papua New Guinea.

出版信息

Aust N Z J Med. 1988 Oct;18(6):754-7. doi: 10.1111/j.1445-5994.1988.tb00174.x.

DOI:10.1111/j.1445-5994.1988.tb00174.x

PMID:3266552

Abstract

In a prospective study of 175 adults with acute pneumonia, percutaneous lung aspiration (PLA) was performed in 144 in an attempt to obtain a bacteriological diagnosis. Positive cultures were obtained from PLA in 90/144 cases (62.5%). The most common organisms isolated were Streptococcus pneumoniae (60%) gram-negative bacilli including Hemophilus influenzae (26%) and Staphylococcus aureus (11%). In 39% of those patients with positive PLA cultures, the same organism was isolated on blood cultures. Complications of PLA were uncommon, with hemoptysis in 4% and chest wall hematoma in 0.7% of patients. The incidence of post-aspirate pneumothorax was not determined in this study. PLA was found to be a safe and effective method of obtaining a bacteriological diagnosis in adult patients with pneumonia.

摘要

在一项针对175例急性肺炎成年患者的前瞻性研究中，对144例患者进行了经皮肺穿刺抽吸（PLA），以试图获得细菌学诊断。144例患者中90例（62.5%）经PLA获得阳性培养结果。分离出的最常见病原体为肺炎链球菌（60%）、革兰氏阴性杆菌（包括流感嗜血杆菌，26%）和金黄色葡萄球菌（11%）。在PLA培养结果为阳性的患者中，39%的患者血培养也分离出相同病原体。PLA的并发症并不常见，咯血发生率为4%，胸壁血肿发生率为0.7%。本研究未确定抽吸后气胸的发生率。结果发现，PLA是成年肺炎患者获得细菌学诊断的一种安全有效的方法。