邹安庆, 吕晓晓, 谢耀盛. 65例腹膜透析患者腹膜透析液细胞学和病原学分析[J]. 疾病监测, 2014, 29(9): 713-715. DOI: 10.3784/j.issn.1003-9961.2014.09.011
引用本文: 邹安庆, 吕晓晓, 谢耀盛. 65例腹膜透析患者腹膜透析液细胞学和病原学分析[J]. 疾病监测, 2014, 29(9): 713-715. DOI: 10.3784/j.issn.1003-9961.2014.09.011
ZOU An-qing, LYU Xiao-xiao, XIE Yao-sheng. Cytology and etiology of peritoneal dialysis fluid from 65 patients receiving peritoneal dialysis[J]. Disease Surveillance, 2014, 29(9): 713-715. DOI: 10.3784/j.issn.1003-9961.2014.09.011
Citation: ZOU An-qing, LYU Xiao-xiao, XIE Yao-sheng. Cytology and etiology of peritoneal dialysis fluid from 65 patients receiving peritoneal dialysis[J]. Disease Surveillance, 2014, 29(9): 713-715. DOI: 10.3784/j.issn.1003-9961.2014.09.011

65例腹膜透析患者腹膜透析液细胞学和病原学分析

Cytology and etiology of peritoneal dialysis fluid from 65 patients receiving peritoneal dialysis

  • 摘要: 目的 分析65例腹膜透析患者腹膜透析液常规及细菌培养结果。 方法 取腹膜透析液两管,一管行常规分析,包括有核细胞计数和沉渣细胞分类,另一管做细菌培养。 结果 65例患者中37例表现为腹膜透析相关感染性腹膜炎,占56.9%;45例患者送检细菌培养,阳性率为62.2%,主要为凝固酶阴性葡萄球菌,占20.0%,其次为链球菌和革兰阴性杆菌,分别占17.8%和15.6%;35例腹膜炎患者有8例表现为顽固性腹膜炎,2例出现腹膜透析液性质改变,其转归情况明显差于其他患者(P0.05)。 结论 腹膜透析相关感染性腹膜炎是腹膜透析最常见的严重并发症,以细菌性感染多见,因此对腹膜透析液进行细胞学常规和病原学相结合的分析,能及时了解透析情况和变化,更好地为临床服务。

     

    Abstract: Objective To analyze of routine test and bacterial culture Results of peritoneal fluid from 65 patients receiving peritoneal dialysis. Methods Two peritoneal dialysis fluid samples were collected, one was for routine analysis, including nucleated cell counts and sediment cell classification, another one was for bacteria culture. Results Among the 65 patients, 37 had peritoneal dialysis related peritonitis (56.9%). The bacterial positive rate was 62.2% in 45 samples for bacteria culture. The pathogens were mainly coagulase negative staphylococci (20.0%), followed by Streptococcus (17.8%) and gram negative bacilli (15.6%); In 35 peritonitis patients, 8 had refractory peritonitis and 2 had changed peritoneal dialysis fluid in nature, whose prognosis was worse than other patients (P0.05). Conclusion Peritoneal dialysis related peritonitis is the most common serious complication caused by peritoneal dialysis, the bacterial infection is the major form, so analyze in combination with the cytology and aetiology of peritoneal dialysis fluid,can understand the situation and changes of dialysis and do better clinical services.

     

/

返回文章
返回