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作 者:刘敏 文良军 薛维军[1] 刘轶芳 刘娟 方鹏 LIU Min;WEN Liangjun;XUE Weijun;LIU Yifang;LIU Juan;FANG Peng(Department of Laboratory,Gongan County Center for Disease Control and Prevention,Gong'an,Hubei Province,434300 China;Department of Laboratory,Gongan County Hospital of Traditional Chinese Medicine,Gong'an,Hubei Province,434300 China)
机构地区:[1]公安县疾病预防控制中心检验科,湖北公安434300 [2]公安县中医医院检验科,湖北公安434300
出 处:《系统医学》2023年第22期57-59,67,共4页Systems Medicine
摘 要:国内外所报道非O1/非O139群霍乱弧菌(non-O1/non-O139 vibrio cholerae, NOVC)血流感染案例的患者基础疾病集中在肝脏疾病和血液系统疾病,但传染途径大多不明。本文通过回顾公安县两例肝病患者血流感染NOVC后的临床表现和不同转归,结合流行病调查,探讨其血流感染的感染途径和预防措施。建议肝病患者发生腹泻、发热等症状时,应及时就医,临床医师应警惕此类患者的NOVC血流感染,重视血培养,尽早发现病原体,根据培养结果对症治疗,提高患者存活率。The underlying diseases of patients with cases of non-O1/non-O139 vibrio cholerae(NOVC)bloodstream infections reported at home and abroad focused on liver diseases and hematologic diseases,but the routes of transmis-sion were mostly unknown.In this paper,by reviewing the clinical manifestations and different regressions of two cases of bloodstream infection with NOVC in patients with liver disease in Gong'an County,and combining with epide-miological investigations,we discuss the infectious pathways and preventive measures of their bloodstream infections.It is suggested that patients with liver disease should seek timely medical treatment when symptoms such as diarrhea and fever occur,and clinicians should be alert to NOVC bloodstream infections in such patients,pay attention to blood cultures to detect pathogens as early as possible,and treat symptoms according to the culture results to improve the survival rate of patients.
关 键 词:非O1群/O139群霍乱弧菌 血流感染 肝病患者
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