629例肝病患者医院感染调查分析  

Investigation and Analysis on 629 Cases of Hepatosis Infected in Hospital

作　　者：梁伟屏[1] 

机构地区：[1]广西医科大学第五附属医院柳州市人民医院肝病科,广西柳州545001

出　　处：《广西中医学院学报》2002年第2期39-41,共3页Journal of Guangxi Traditional Chinese Medical University

摘　　要：[目的 ]探讨肝病患者医院感染的状况和对转归的影响。 [方法 ]对 62 9例急慢性病毒性肝炎、重型肝炎和肝硬化患者医院感染状况进行回顾性调查。 [结果 ]1 0 6例肝病患者发生医院感染 1 1 5例次 ,例次感染率为 1 8.2 8% ;感染组和非感染组病死率分别为 1 6.98%和 2 .2 9% ,两组比较有显著性差异 ( P <0 .0 1 ) ;不同肝病组医院感染率和病死率也存在着显著性差异 ( P <0 .0 1 ) ,以重型肝炎组医院感染率和病死率较高 ;感染部位以呼吸系统最多见 ;病原菌以 G-细菌为主。 [结论 ]肝病患者尤其是重型肝炎患者易发生各种医院感染 ,使病情加重 ,死亡率增加 ,预后差。To study the condition of hepatosis with hospital infection and its effect on prognosis To study retrospectively the condition of 629 cases with hospital infection of acute and chronic viral hepatitis, severe hepatitis and liver cirrhosis 115 times of hospital infections occur in 106 cases of hepatosis Time cases infection rate is 18 28% The fatality rate of infection group is 16 98% and non infection group's fatality rate is 2 29% The two group's results suggest remarkable difference (P<0 01) The fatality rate and hospital infection rate of different hepatopathy groups also indicate remarkable difference (P<0 01) The fatality rate and hospital infection rate of severe hepatitis group are higher than those of the others; The infection of respiratory system is seen most commonly, and the main pathogenic bacteria is G - bacteria [Conclusions] Various hospital infections tend to occur on the hepatopathy patients, especially the severe hepatitis patients, which makes exacerbation, higher mortality rate and worse prognosis of the disease

关 键 词：病毒性肝炎 肝硬化 医院感染 影响因素 预后 

分 类 号：R512.6[医药卫生—内科学]