CAJ | 학술논문

目的：探讨住院原发性肝癌患者医院感染的相关因素。方法记录122例原发性肝癌患者医院感染的相关因素并进行分析。结果122例患者医院感染发生率为23．0％（28／122），感染部位构成比依次为：呼吸道、腹膜炎、泌尿系、消化道、皮肤及其它；28例医院感染患者共检出25株病原体，其中革兰氏阴性菌占48．0％，真菌占28．0％，革兰氏阳性菌占24．0％；贫血、肝功能分级高、3次以上侵入性操作、合并糖尿病、放化疗史及年龄≥60岁患者医院感染发生率高（P＜0．05）。结论原发性肝癌患者医院感染的发生与患者贫血、肝功能分级、侵入性操作次数、血糖水平等因素相关。
목적：탐토주원원발성간암환자의원감염적상관인소。방법기록122례원발성간암환자의원감염적상관인소병진행분석。결과122례환자의원감염발생솔위23．0％（28／122），감염부위구성비의차위：호흡도、복막염、비뇨계、소화도、피부급기타；28례의원감염환자공검출25주병원체，기중혁란씨음성균점48．0％，진균점28．0％，혁란씨양성균점24．0％；빈혈、간공능분급고、3차이상침입성조작、합병당뇨병、방화료사급년령≥60세환자의원감염발생솔고（P＜0．05）。결론원발성간암환자의원감염적발생여환자빈혈、간공능분급、침입성조작차수、혈당수평등인소상관。
Objective To explore the related factors of nosocomial infection in primary hepatic carcinom patinets.Meth-ods The related factors of nosocomial infection in 122 cases of primary hepatic carcinom patinets were recorded and studied.Re-sults The occurrence of nosocomial infection was 23.0%(28/122) in 122 patients.Constituent ratio of infections position were as follow:respiratory tract,peritonitis,urinary system,digestive tract,skin and etc.Totally 25 bacterial strains were isolated,inclu-ding 48.0%of gram-negative bacterium,28.0%of fungus and 24.0%of gram positive.The occurrence of nosocomial infection was higher in patients with anemia,higher liver function grade,repeatedly invasive procedures,diabetes mellitus,chemoradiothera-py history and patients over 60.Conclusion The occurrence of nosocomial infection of primary hepatic carcinom patients is relat-ed with anaemia,grade of liver function,number of invasive procedures and blood sugar.