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目的:对慢性肾衰竭血液透析患者合并感染进行临床分析。方法:选取2013年3月-2015年2月在我院门诊和住院部进行维持性血液透析的患者70例,根据临床表现和实验室检查结果将患者分为非感染组和感染组,非感染组37例,感染组33例。回顾性分析两组患者的血常规、肝、肾功能、C反应蛋白、病原学检查等实验室检查资料。结果:感染组患者的Hb、Alb和TC均明显低于非感染组(p<0.05),CRP和Scr均明显高于非感染组(P<0.05)。结论:慢性肾衰竭血液透析患者合并感染后,Hb、Alb、TC、CRP和Scr水平均异常,临床患者疑似感染时须立即进行CRP检测和病原学检查,以及时控制感染,提高慢性肾衰竭患者的长期生存率。
Objective: To analyze the clinical data of patients with chronic renal failure with hemodialysis. Methods: Seventy patients who underwent maintenance hemodialysis in outpatient department and inpatient department of our hospital from March 2013 to February 2015 were selected and divided into non-infected group and non-infected group according to clinical manifestations and laboratory test results Group 37 cases, infection group 33 cases. Retrospective analysis of two groups of patients with blood, liver and kidney function, C-reactive protein, etiological examination and other laboratory tests. Results: The levels of Hb, Alb and TC in the infected group were significantly lower than those in the non-infected group (p <0.05). CRP and Scr were significantly higher in the infected group than those in the non-infected group (P <0.05). CONCLUSIONS: The levels of Hb, Alb, TC, CRP and Scr in patients with chronic renal failure after hemodialysis infection are abnormal. CRP and etiological examination should be performed immediately after suspected clinical infection in patients with chronic renal failure to timely control the infection and improve the patients with chronic renal failure Long-term survival rate.