Yoder M G, Silva J
Laryngoscope. 1977 Jan;87(1):63-71. doi: 10.1288/00005537-197701000-00008.
Seventeen of 68 patients (25 percent) who required the use of hemovac drainage system after major head and neck procedures had positive anaerobic islates. Co-isolation of aerobic (94 percent) and other anaerobic (29 percent) microorganisms are common. There was an increased rate of psoitive anaerobic islates with procedures requiring exposure of mucosa. Radiotherapy, except in doses greater than 6,800 rads, did not affect the culture rate. Eight of 17 patients (47 percent) with positive anaerobic isolates had infectious-related complications while five of 51 patients (10 percent) with negative cultures had similar complications. Positive anaerobic isolates in hemovac lines can be correlated with pathogens isolated from subsequent complications.
在68例接受重大头颈部手术后需要使用负压引流系统的患者中,有17例(25%)厌氧培养结果呈阳性。需氧微生物(94%)和其他厌氧微生物(29%)的共同分离很常见。在需要暴露黏膜的手术中,厌氧培养阳性率有所增加。除了剂量大于6800拉德的放疗外,放疗不影响培养率。17例厌氧培养阳性的患者中有8例(47%)发生了感染相关并发症,而51例培养结果为阴性的患者中有5例(10%)发生了类似并发症。负压引流管中的厌氧培养阳性结果与后续并发症中分离出的病原体相关。