[目的]通过对血尿患者尿红细胞形态结果的分析,探讨尿红细胞形态对血尿来源诊断的意义.[方法]检测本院确诊为肾小球疾病和非肾小球疾病患者血尿中的红细胞数目和形态,比较不同疾病血尿红细胞的分布情况.[结果]肾小球性疾病77例,检出畸形红细胞63例,混合形红细胞10例,正形红细胞4例;非肾小球性疾病68例,检出正形红细胞56例,畸形红细胞7例,混合形红细胞5例.肾小球性血尿患者检测出尿畸形红细胞为81.8％,而非肾小球性血尿患者则仅有10.3％,两组对比差异有统计学意义(P＜0.01).[结论]尿红细胞形态对区分血尿来源、鉴别肾小球性血尿和非肾小球性血尿具有一定的临床应用意义.
[Objective] To analyse the orthopaedics patients’wound secreta pathogenic bacteria distribution and drug al ergy test, and offer foundation for clinical orthopaedics doctors’reasonable treatment and control ing hospital infection. [Method] Make inoculation of the wound secreta sample on the blood plate and chocolate plate, separate the pure bacteria under“National Clinical Test Operational Rules”of 3d issue, and make drug al ergy with French BioMerieux API Authentication and K-B method. [Result] The first 5 pathogenic bacteria detected in 189 strains of wound secreta are: 36 strains of enterobacter cloacae, occupying 19.5%;32 strains of staphylococcus aureus, occupying 17.3%;29 strains of staphylococcus epidermidis, 15.7%;26 strains of Escherichia coli, 14.1%; 20 strains of pseudomonas aeruginosa, 10.8%; the 26 strains of Escherichia coli have positive ESBLs 26.9%(7/26strains); the gram negative bacil i has highest drug resistance rates to ampicil in and cefazolin, without resistance to cefoperazone/sulbactam and imipenem. The detection rate is 21.9% for methoicil in-resistant staphylococcus epidermidis; the detection rate of methicil in-resistant staphylococcus epeidermidis is 20.7%,with highest resistant rate to penicil in, without staphylococcus resisting vancomycin. [Conclusion] The enterobacter cloacae and staphylococcus are the advantageous bacteria of wounds, with high drug resistance;the clinical doctors shal reasonably make out treatment plan and select effective anti-bacterial drugs.
T、AST、GGT改善明显[分别为(42±9)U/L比(99±53)U/L、(49±19)U/L比(135±42)U/L、(67±217)U/L比(189±47)U/L],差异有统计学意义(P<0.05).结论 阿拓莫兰治疗酒精性肝病疗效确切,ALT、AST、GGT指标改善明显.
细菌性阴道病(bacterial vaginosis,BV)是一种由一些厌氧菌和兼性厌氧菌(主要是加德纳菌属、Prevotella属、拟杆菌属、动弯杆菌属、革兰阳性球菌、支原体属)的过度增殖以及正常菌群(乳酸杆菌)的减少或缺失所引起的多细菌性紊乱疾病[1],是育龄妇女最常见的阴道感染性疾病之一.据文献报道,感染率为30%～50%,发病率在10%～30%,患者例数远远高于阴道滴虫、霉菌等感染人数,且易复发[2].在妇科BV会引起宫颈炎、慢性盆腔炎、双侧输卵管阻塞而致不孕等;在产科BV可导致胎膜早破、羊膜腔感染、绒毛膜羊膜炎、产后子宫内膜炎、新生儿感染等.BV诊断的金标准是Amsel临床诊断标准(简称Amsel标准)[3].但在临床实践中操作较为繁琐,影响因素较多,且阳性标准难以统一.笔者采用BV Set试剂盒检测阴道分泌物,与Amsel标准进行对比分析,现将结果报道如下.
