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饮食养生:治疗胆道感染的抗菌药

在联用抗菌药时,要注意配合恰当,可将繁殖期杀菌剂(如青霉素,头孢菌素内)与静止期杀菌剂(如氨基苷类、喹诺酮类)联合应用,具有协同效应;也可将静止期杀菌剂与快速抑菌剂(如林可霉素,红霉素)联合应用,具有累加效效应;但不可联用繁殖期杀菌剂和快速抑菌剂。

In the combination of antibacterial agents, we should pay attention to the appropriate coordination. We can combine the germicides in the breeding period (such as penicillin and cephalosporins) with the fungicides in the stationary phase (such as aminoglycosides and quinolones), which have synergistic effect; we can also use the static bactericides and rapid antibacterial agents (such as lincomycin, erythromycin) to have cumulative effect; but we can not combine the germicides and rapid antibacterial agents in the breeding period.

最好是通过静脉滴注给药。

It is better to give the medicine by intravenous drip.

2、胆道感染是什么胆道感染临床常见,按发病部位分为胆囊炎和胆管炎。

2. What is biliary tract infection? Biliary tract infection is common clinically. It is divided into cholecystitis and cholangitis according to the location of the disease.

胆道感染与胆石病互为因果关系。

There is a causal relationship between biliary tract infection and cholelithiasis.

胆道感染的反复发作又是胆石形成的重要致病因素和促发因素。

The recurrence of biliary tract infection is an important pathogenic factor and promoter of gallstone formation.

细菌感染:多为继发性感染,致病菌可通过胆道逆行侵入胆囊,或经血循环或淋巴途径进入胆囊。

Bacterial infection: mostly secondary infection, pathogenic bacteria can enter gallbladder retrogradely through biliary tract, or enter gallbladder through blood circulation or lymphatic pathway.

致病菌主要为革兰阴性杆菌,其中以大肠杆菌最常见,其他有肠球菌、绿脓杆菌等。

The main pathogenic bacteria were gram-negative bacilli, of which Escherichia coli was the most common, and the others were Enterococcus and Pseudomonas aeruginosa.

然而,临床也发现很多体内放置了胆道支架的患者容易发生胆道感染,严重影响生活质量。

However, it is also found that many patients with biliary stents are prone to biliary tract infection, which seriously affects the quality of life.

胡冰课题组研究发现,肠胆反流是造成胆管炎的主要原因之一,也就是在胆道恶性梗阻处置入支架后,肠道内的食物及细菌会反向进入胆道,造成逆行性感染,而此前国际上尚无具有抗反流功能的胆道支架。

Hu Bing's research team found that enterobiliary reflux is one of the main causes of cholangitis, that is, after malignant biliary obstruction is treated with stent, food and bacteria in the intestine will reverse into the biliary tract, causing retrograde infection. However, there is no biliary stent with anti reflux function in the world before.

他们选取112名胆道肿瘤患者进行前瞻性随机对照研究,对比抗反流支架与普通支架的疗效指标发现,支架置入后1年内胆管炎的发生率由38.2%下降至19.2%,且发病频度明显下降;支架的中位通畅期由10个月延长到13个月。

They selected 112 patients with biliary tract tumor to conduct a prospective randomized controlled study, and compared the efficacy indicators of anti reflux stent and ordinary stent. They found that the incidence of cholangitis decreased from 38.2% to 19.2% within 1 year after stent implantation, and the incidence frequency decreased significantly; the median patency period of stent was extended from 10 months to 13 months.

清洁手术感染率<2%,一般认为清洁手术无需使用预防性抗生素。

The infection rate of clean surgery is & lt; 2%, and it is generally believed that prophylactic antibiotics are not required for clean surgery.

植入人工材料的手术,如人工关节置换术、心脏瓣膜置换术等[17]。

Surgery with artificial materials, such as artificial joint replacement and heart valve replacement [17].

预防切口感染,应选用针对金黄色葡萄球菌的抗生素;预防手术部位或全身感染,应依据手术野污染或可能的污染菌种选用。

To prevent incision infection, antibiotics against Staphylococcus aureus should be selected; to prevent surgical site or systemic infection, it should be selected according to the contamination of surgical field or possible contamination bacteria.

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饮食养生:治疗胆道感染的抗菌药

在联用抗菌药时,要注意配合恰当,可将繁殖期杀菌剂(如青霉素,头孢菌素内)与静止期杀菌剂(如氨基苷类、喹诺酮类)联合应用,具有协同效应;也可将静止期杀菌剂与快速抑菌剂(如林

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饮食养生:胆囊微创手术疼吗

所以,术后1~2天,应严格禁食,宜用静脉滴注补充各种营养。Therefore, 1-2 days after operation, should be strictly fasting, intravenous drip should be used to supplemen

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