CAJ | 학술논문

目的：观察血液透析患者透析用中心静脉导管感染的相关致病菌及有效治疗。方法分别进行临时性颈内静脉置管390例次，与带cuff的中心静脉导管40例次，股静脉置管150例次，中心静脉导管留置期间共出现68例次导管感染。每例次导管感染均送实验室进行细菌培养。结果血液透析患者透析用中心静脉导管感染总感染率为11．7%，中心静脉导管感染主要致病菌分别是金黄色葡萄球菌、大肠埃希菌、鲍曼不动杆菌复合菌、表皮葡萄球菌。股静脉置管导管感染发生率高于颈内静脉置管。结论抗生素全身应用或封管局部应用及拔出中心静脉导管是中心静脉导管感染的有效治疗方法。
목적：관찰혈액투석환자투석용중심정맥도관감염적상관치병균급유효치료。방법분별진행림시성경내정맥치관390례차，여대cuff적중심정맥도관40례차，고정맥치관150례차，중심정맥도관류치기간공출현68례차도관감염。매례차도관감염균송실험실진행세균배양。결과혈액투석환자투석용중심정맥도관감염총감염솔위11．7%，중심정맥도관감염주요치병균분별시금황색포도구균、대장애희균、포만불동간균복합균、표피포도구균。고정맥치관도관감염발생솔고우경내정맥치관。결론항생소전신응용혹봉관국부응용급발출중심정맥도관시중심정맥도관감염적유효치료방법。
Objective To observe pathogens of central venous catheter-related infections in hemodialysis patients and to find an effective treatment. Methods We performed 390 cases ( cases/times) of temporary internal jugular vein catheterization, 40 cases of central venous catheter with cuffs and 150 cases of femoral vein catheterization respectively. There were 68 cases of catheter infection occurred in the central venous catheter indwelling period. Each case of catheter infection was sent to the labora-tory for bacterial culture. Results The total infection rate of central venous catheter in hemodialysis patients was 11. 7%. The predominant pathogens of central venous catheter-related infection were Staphylococcus aureus,Escherichia coli,Acinetobacter bau-mannii complex strains and Staphylococcus epidermidis respectively. The infection rate occurred in femoral vein catheter was higher than the internal jugular vein catheterization. Conclusion Systemic antibiotics or topical application for sealing central venous cathe-ters and pull out central venous catheters is effective in the treatment of central venous catheter-related infection.