重型肝炎并发医院内真菌感染168例临床分析  

Clinical analysis of 168 patients with severe hepatitis and subsequent hospital fungal infection

作　　者：吕晓峰[1] 李保义[1] 安凤霞[1] 胡静波[1] 王素英[1] 李书君[1] 

机构地区：[1]邢台市人民医院肝病科,河北邢台054031

出　　处：《中西医结合肝病杂志》2009年第2期83-84,共2页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

摘　　要：目的:探讨重型肝炎患者医院内真菌感染的易感因素及防治措施。方法:对1996年6月至2006年6月我院收治的重型肝炎患者中发生医院内真菌感染的病例进行回顾性分析。结果:重型肝炎发生医院内真菌感染以白色念珠菌为主(52.75%),其次为热带念珠菌(16.06%)。感染部位以肺部感染(44.83%)、口腔感染(25.62%)、咽部感染(10.34%)为主,其次为消化道感染(8.37%)、腹腔感染(6.90%)和泌尿道感染(3.94%)。结论:重型肝炎发生医院内真菌感染病死率高,以白色念珠菌为重要病原菌。Objective： To prevent and control nosocomial infection by studying the risk factors of hospital fungal infection in patients with severe hepatitis. Methods： A retrospective study was performed in 168 patients with severe hepatitis and subsequent hospital fungal infection between Jun. , 1996 and Jun. , 2006. Results： Among the hospital fungal infection in patients with severe hepatitis, the rates of Candida albicans and Candida tropicalis were 52. 75% and 16.06% , respectively. The rates of pulmonary infection, oral infection, swallowing infection, alimentary tract infection, celiac infection and urinary tract infection were 44. 83% , 25.62% , 10. 34% , 8.37% , 6. 90% and 3.94% respectively. Conclusion： The mortality rate of hospital fungal infection in patients with severe hepatisis is very high. Candida albicans is the most important pathogen.

关 键 词：重型肝炎 医院内感染 真菌 

分 类 号：R575.1[医药卫生—消化系统] R519[医药卫生—内科学]