【摘要】 报告对73例烧伤水疱液随机抽样的细菌培养结果:总阳性率占16.44%,其中重度与特重烧伤的阳性率为15.07%.水疱液的菌量与烧伤面积呈正相关(r=0.8763),而与伤后取材时间无正相关性(r=0.1586)。烧伤水疱液的菌种与创面优势生长菌种不一定一致,提示要重视隔离消毒与避免交叉感染。如水庖液的含菌量≥2000cFu/ml时要警惕侵袭性感染发生的可能。故应把入院后立即行烧伤水疱液培养作为重度烧伤常规创面检查。更多还原

【Abstract】 Under a sterilized technique the fluid of the unbroken blistr was obtained for bacterial culture in 73 burned patients with different ages(5 months～67Y)and extent of injury(1.5% ～96% TBSA).Bacterial count was carried out if a positive result is obtained.Among the 73 patients,positive cultures were observed in 12,an incidence of 16.4%.Patients suffering from serious or extremely serious thermal injuries showed a positive culture rate of 15%, Bacterial count of the blister fluid appeared to be higher in patients with extensive burns. Most of the bacteria were common resident organisms of the human body.Of the 4 patients with their blister fluid bacteria counts.over 2000 CFU/ml,2 died from sepsis,while 8 patients with lower than 2000 CFU/ml bacteria in their blister fluid survived.The results suggested that large number of bacteria in the blister fluid might further depress local immu- nity,so that the patient is more susceptible to infections.It is therefore suggested that culture of blister fluid and bacterial count should be done immediately in the extensively burned patient just after admission.更多还原