肝移植患者术后早期院内感染的分析  

Analysis of liver transplantation in patients with early postoperative nosocomial infections

作　　者：彭晓春[1] 刘念[1] 纪宗淑[1] 罗晓明[1] 王国斌[2] 耿小平[2] 

机构地区：[1]安徽医科大学第一附属医院重症医学科,合肥230022 [2]安徽医科大学第一附属医院器官移植中心

出　　处：《肝胆外科杂志》2012年第6期414-416,共3页Journal of Hepatobiliary Surgery

摘　　要：目的总结分析肝脏移植受体术后早期感染的常见部位及菌群;分析感染发生的危险因素;探讨预防控制感染的办法。方法回顾性分析安徽医科大学第一附属医院于2004年4月～2012年9月共30例存活一周以上的肝脏移植受体术后院内感染情况,结合临床资料进行分析,寻找感染高危因素。结果 30例肝脏移植患者中,9例发生院内感染(院感发生率为30%),ICU留治时间、深静脉和气管插管保留时间在感染和非感染组间差别有统计学意义,但未发现有感染独立危险因素。结论感染是肝移植患者常见并发症,影响早期移植患者预后;感染部位多见于肺部;术后ICU监护治疗中减少各种危险因素及早期预防有助于降低感染率。Objective To summarize and analyze common site and flora of early postoperative infection in liver transplant recipients;To analyze risk factors for infection occurred;To explore the way of prevention and control of infection.Methods The essay tried to find out the risk factors of infection by analyzing clinical data of 30 patients in the First Affiliated Hospital of Anhui Medical University from Apr 2004 to Sep 2012 who survived more than one week after liver transplantation.Results There were 9 cases occurred nosocomial infections among 30 patients,The incidence rate was 30%.Residence time in ICU、Deep venous catheter and Intubation keeping time had statistical differences between infected and non-infected group,but no independent risk factors were found.Conclusion Infection is a common complication of liver transplantation,affecting the early prognosis;The infection occurs more commonly to the lungs;It can help decrease the infection rate by reducing a variety of risk factors during postoperative ICU care treatment and by early prevention.

关 键 词：肝移植 感染 危险因素 

分 类 号：R575[医药卫生—消化系统]