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本文为报道厌氧菌与需氧菌混合感染脑脓肿4例,共培养出厌氧菌6菌株,计其它类杆菌、消化链球菌各2菌株,产黑类杆菌、脆弱类杆菌各1菌株;需氧菌共4菌株,计普通变形杆菌2菌株,流行性感冒杆菌、不动杆菌各1菌株,提示厌氧菌多于需氧菌。 并与同期需氧菌的金黄色葡萄球菌的脑脓肿3例作了比较。厌氧菌脑脓肿较趋于慢性化脓炎症,脓肿常单发;金黄色葡萄球菌脑脓肿多为急性炎症,脓肿常多房多发。主要靠厌氧菌培养加以鉴别,其他方面不易区别,并对治疗等略加讨论。
In this paper, anaerobic bacteria and aerobic bacteria reported mixed infection in 4 cases of brain abscess, co-cultured anaerobic 6 strains, accounting for other Bacteroides, Peptostreptococcus 2 strains, producing black bacilli, Bacteroides fragilis 1 strains; A total of 4 aerobic bacteria strains, accounting for 2 strains of Proteus vulgaris, influenza B, Acinetobacter 1 strains, suggesting that anaerobic bacteria more than aerobic bacteria. And with the same period aerobic bacteria Staphylococcus aureus brain abscess in 3 cases were compared. Anaerobic brain abscess tend to chronic septic inflammation, abscess often single; Staphylococcus aureus brain abscess mostly acute inflammation, abscess often more room multiple. Mainly by anaerobic culture to be identified, the other is not easy to distinguish, and treat slightly more discussion.