Zhonghua Wai Ke Za Zhi. 2000 Mar; 38(3): 176-8.

[Hemorrhagic shock increases the occurrence of bacterial translocation]

Zheng C, Jia C, Shi Y.

Department of General Surgery, Chinese Traditional Medicine Hospital, Tangyuan County, Heilongjiang 154700, China.

OBJECTIVE: To determine whether hemorrhagic shock (HS) increases the occurrence of bacterial translocation (BT). METHODS: 100 patients were divided into 4 groups: control group (group I, 34 patients); group with hemorrhagic shock (HS) caused by closed blunt abdominal trauma (group II, 23); group caused by closed blunt abdominal trauma without HS (group III 15); and group with HS caused by intra-abdominal viscus hemorrhage (group IV 28). Preoperative and postoperative samples were taken from peripheral blood, visceral peritoneal swab, portal vein blood, ileal mesenteric lymph node, liver and spleen biopsy respectively for aerobic and anaerobic culture. RESULTS: The positive culture rates of these groups were 6%, 65%, 13%, 68% respectively. The difference between the control and experimental groups was significant(P < 0.05). The difference was also significant between group I and II and between I and IV (P < 0.01), whereas it was not significant between I and III, and between II and IV (P > 0.05). CONCLUSION: HS increases the occurrence of BT.