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目的探讨老年肺癌患者放化疗期间并发医院感染的临床特点。方法回顾性分析376例老年肺癌患者的临床资料。结果 376例老年肺癌患者医院感染49例,感染率13.03%,感染54例次,感染例次率14.36%。感染部位以呼吸系统占首位,为77.78%;病原菌依次为革兰阴性菌、革兰阳性菌、真菌,分别占58.06%、32.26%、9.68%。小细胞癌、中央型肺癌、晚期患者更容易并发医院感染。结论针对老年肺癌患者医院感染的特点,在抗癌治疗的同时加强感染的防控。
Objective To investigate the clinical features of nosocomial infection during radiotherapy and chemotherapy in elderly patients with lung cancer. Methods The clinical data of 376 elderly patients with lung cancer were retrospectively analyzed. Results There were 49 nosocomial infections in 376 elderly patients with lung cancer. The infection rate was 13.03% and 54 infections. The infection rate was 14.36%. The site of infection was the respiratory system, accounting for 77.78%; the pathogens were Gram-negative bacteria, Gram-positive bacteria, and fungi, accounting for 58.06%, 32.26%, and 9.68%, respectively. Small cell carcinoma, central lung cancer, and advanced patients are more likely to develop nosocomial infections. Conclusion For the characteristics of nosocomial infection in elderly patients with lung cancer, the prevention and control of infection should be strengthened at the same time of anti-cancer treatment.