中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
13期
99-100,103
,共3页
重型肝炎%医院感染%预后
重型肝炎%醫院感染%預後
중형간염%의원감염%예후
Severe hepatitis%Hospital infection%The prognosis
目的：探究与分析重型肝炎继发医院感染的情况。方法整群选取该院自2012年11月-2014年11月间收治的重型肝炎患者162例，对这些患者有无继发感染、感染部位等进行分析对比。结果在选取的162例重型肝炎患者中，继发医院感染者共57例，占35.2%，未继发医院感染者105例，占64.8%。在继发感染者中，腹腔感染最突出，有28例，占17.3%。其他感染依次为胆道感染14例，占8.6%，呼吸道感染9例，占5.6%，血液感染4例，占2.5%，其他感染3例，占1.9%。其中，1例患者合并2种感染。对病原菌进行检测，结果显示：共检出病原菌36株，各类病原菌中，革兰阴性菌居多，共19株，占52.3%，革兰阳性菌共11株，占30.6%，真菌共6株，占16.7%。各种病原菌中，大肠杆菌数量最多，共9株，占25.0%，其他数量较多的病原菌依次为肺炎克雷伯菌7株，占19.4%；金黄色葡萄球菌5株，占13.9%；白色念珠菌4株，占11.1%；溶血性链球菌3株，占8.3%。结论重型肝炎易于继发医院感染，感染的病原菌种类较多，且引起的病情较重，预后较差，有必要较早采取防治措。
目的：探究與分析重型肝炎繼髮醫院感染的情況。方法整群選取該院自2012年11月-2014年11月間收治的重型肝炎患者162例，對這些患者有無繼髮感染、感染部位等進行分析對比。結果在選取的162例重型肝炎患者中，繼髮醫院感染者共57例，佔35.2%，未繼髮醫院感染者105例，佔64.8%。在繼髮感染者中，腹腔感染最突齣，有28例，佔17.3%。其他感染依次為膽道感染14例，佔8.6%，呼吸道感染9例，佔5.6%，血液感染4例，佔2.5%，其他感染3例，佔1.9%。其中，1例患者閤併2種感染。對病原菌進行檢測，結果顯示：共檢齣病原菌36株，各類病原菌中，革蘭陰性菌居多，共19株，佔52.3%，革蘭暘性菌共11株，佔30.6%，真菌共6株，佔16.7%。各種病原菌中，大腸桿菌數量最多，共9株，佔25.0%，其他數量較多的病原菌依次為肺炎剋雷伯菌7株，佔19.4%；金黃色葡萄毬菌5株，佔13.9%；白色唸珠菌4株，佔11.1%；溶血性鏈毬菌3株，佔8.3%。結論重型肝炎易于繼髮醫院感染，感染的病原菌種類較多，且引起的病情較重，預後較差，有必要較早採取防治措。
목적：탐구여분석중형간염계발의원감염적정황。방법정군선취해원자2012년11월-2014년11월간수치적중형간염환자162례，대저사환자유무계발감염、감염부위등진행분석대비。결과재선취적162례중형간염환자중，계발의원감염자공57례，점35.2%，미계발의원감염자105례，점64.8%。재계발감염자중，복강감염최돌출，유28례，점17.3%。기타감염의차위담도감염14례，점8.6%，호흡도감염9례，점5.6%，혈액감염4례，점2.5%，기타감염3례，점1.9%。기중，1례환자합병2충감염。대병원균진행검측，결과현시：공검출병원균36주，각류병원균중，혁란음성균거다，공19주，점52.3%，혁란양성균공11주，점30.6%，진균공6주，점16.7%。각충병원균중，대장간균수량최다，공9주，점25.0%，기타수량교다적병원균의차위폐염극뢰백균7주，점19.4%；금황색포도구균5주，점13.9%；백색념주균4주，점11.1%；용혈성련구균3주，점8.3%。결론중형간염역우계발의원감염，감염적병원균충류교다，차인기적병정교중，예후교차，유필요교조채취방치조。
Objective To probe into and analysis of secondary hospital infection of severe hepatitis. Methods To choose self court-yard from November 2012 to November 2012 were 162 cases of patients with severe hepatitis, with or without secondary infection, infection in patients with these parts and other analysis comparison. Results 162 cases of fulminant hepatitis in selected patients, secondary hospital infection, a total of 57 cases (35.2%), secondary hospital infection in 105 cases, accounting for 64.8%. In the secondary infection, abdominal cavity infection, the most prominent have 28 cases, accounting for 17.3%. Other 14 cases of infec-tion of biliary tract infection (8.6%), respiratory infection, 9 cases (5.6%), blood stream infection, 4 cases (2.5%), other 3 cases of infection, accounting for 1.9%. Among them, 1 case of patients with combined two kinds of infection. To test the pathogen, the re-sults showed:a total of 36 strains pathogenic bacteria detection of various kinds of pathogens, the majority of gram-negative bacte-ria, a total of 19 strains (52.3%), gram positive bacteria, a total of 11 strains, accounting for 30.6%, fungi, a total of 6 strains, ac-counting for 16.7%. The most number of various kinds of pathogenic bacteria, escherichia coli, a total of 9 strains, accounting for 25.0%, other large number of pathogenic bacteria of pneumonia klebsiella bacteria strains, accounting for 19.4%; Staphylococcus aureus, 5 strains (13.9%), Candida albicans 4 strains (11.1%), Hemolytic streptococcus 3 strains, accounting for 8.3%. Conclusion Easy to fulminant hepatitis secondary hospital infection, the infection of pathogenic bacteria species, and cause of disease, poor prognosis, it is necessary to take early prevention and control measures.
