重型肝炎、肝硬化患者败血症病原菌分布  

Pathogenic distribution of septicemia in patients with severe hepatitis and cirrhosis

作　　者：徐海峰[1,2] 熊自忠[2] 

机构地区：[1]南通市第三人民医院传染科,南通226006 [2]安徽医科大学第一附属医院感染科,合肥230022

出　　处：《安徽医科大学学报》2012年第7期873-875,共3页Acta Universitatis Medicinalis Anhui

基　　金：2009年教育部重点项目(编号:209059)

摘　　要：对重型肝炎及肝硬化合并败血症血液病原菌培养阳性114株进行鉴定和耐药分析。114株病原菌中,革兰阴性菌88株(77.19%),革兰阳性菌23株(20.18%),真菌3株(2.63%)。分离菌株前四位分别为大肠埃希菌、肺炎克雷伯菌、嗜麦芽窄食单胞菌、葡萄球菌属。合并败血症的重型肝炎、肝硬化患者病死率和自动出院比率共占66.67%。114 pathogens of hospitalized patients with severe hepatitis, cirrhosis and septicemia with pathogens from positive blood cultures were included as subjects in the study. 114 pathogens were detected with pathogenic microor- ganisms, among which there were 88 gram-negative bacilli （77. 19% ） ,23 gram-positive cocci （20. 18 % ） and 3 fun- gi （2.63 % ）. The top four isolated strains were Escherichia coli, Klebsiella pneumoniae, Stenotrophomonas Maltophilia and Staphylococcus spp. The mortality rate and the rate of automatic discharge for aggravated conditions in patients with severe hepatitis ,cirrhosis and septicemia accounted for 66.67% in total.

关 键 词：重型肝炎 肝硬化 败血症 病原菌 

分 类 号：R512.6[医药卫生—内科学] R657.31[医药卫生—临床医学]