Kilby A M, Dolby J M, Honour P, Walker-Smith J A
Arch Dis Child. 1977 Mar;52(3):228-34. doi: 10.1136/adc.52.3.228.
The aerobic and anaerobic bacterial flora of the duodenum were studied in 10 infants with transient monosaccharide intolerance. 5 infants had protracted diarrhoea after an episode of acute gastroenteritis and 5 had acute gastroenteritis. The duration of monosaccharide intolerance ranged from 1 to 20 days. Serial intubations were performed on 8 infants. In 5 of 8 cases the bacterial flora were of a normal type at the first intubation at 0--4 days after the onset of monosaccharide intolerance. In 4 of those 5 patients there was an increase in bacterial count a few days later and anaerobes appeared. These findings are not consistent with the suggestion that monosaccharide intolerance is caused by abnormal bacteria in the upper small bowel.
对10例患有短暂性单糖不耐受的婴儿的十二指肠需氧和厌氧菌群进行了研究。5例婴儿在急性肠胃炎发作后出现迁延性腹泻,5例患有急性肠胃炎。单糖不耐受的持续时间为1至20天。对8例婴儿进行了连续插管。在8例中的5例中,在单糖不耐受发作后0至4天首次插管时,菌群为正常类型。在这5例患者中的4例中,几天后细菌数量增加且出现了厌氧菌。这些发现与单糖不耐受是由上段小肠异常细菌引起的观点不一致。