摘要
目的研究各型肝衰竭患者感染发生率及感染对肝衰竭患者预后的影响。方法依照我国肝衰竭诊疗指南诊断,回顾我院近5年来肝衰竭患者合并感染情况,并依患者预后不同比较好转和死亡或肝移植组的感染部位、感染类型、感染发生率的差异。结果各型肝衰竭患者发生感染率为89.3%;革兰氏阴性菌比例为92.59%;好转患者感染率为72.60%,低于死亡患者感染率(98.63%)。结论肝衰竭患者感染率在近年来还在上升,主要感染病原体为肠杆菌属的革兰氏阴性杆菌,发生多部位感染会导致肝衰竭患者病死率增加。
Objectives To study the morbidity of infection and the outcome of patients with liver failure. Methods 234 patients with liver failure were enrolled in this retrospective study. Result The infection incidence in liver failure patients was 89.3%. Gram negative bacteria accounted for 92.59% in all positive culture specimens. Lower infection incidence （72. 60%） was observed in patients with good outcome. High incidence of multiple site infection occurred manly in died or liver transplantation patients. Conclusions The infection incidence is higher in recent years. Gram negative bacteria is the main microorganisms responsible for infection.
出处
《实用肝脏病杂志》
CAS
2007年第2期109-111,共3页
Journal of Practical Hepatology
