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目的分析腹膜透析患者多重耐药菌相关性腹膜炎的临床特征及转归情况。方法回顾性分析18例腹膜透析患者多重耐药菌相关性腹膜炎的临床特征及转归。结果 11例革兰氏阳性球菌感染者经治疗后7例治愈,1例死亡,3例转血液透析;7例革兰氏阴性杆菌感染者中4例治愈,2例转血液透析,1例死亡。结论多重耐药菌相关性腹膜炎症状重,预后差,建议使用敏感抗生素治疗,延长疗程。
Objective To analyze the clinical features and prognosis of multiple drug-resistant bacterial peritonitis in peritoneal dialysis patients. Methods The clinical features and prognosis of 18 patients with peritoneal dialysis were retrospectively analyzed. Results Eleven cases of Gram-positive cocci were cured after treatment, 7 cases were cured, 1 died and 3 cases were hemodialysis; 4 of 7 Gram-negative bacilli were cured, 2 cases were hemodialysis and 1 case died . Conclusions Multiple drug-resistant bacteria associated with peritonitis symptoms, poor prognosis, it is recommended to use sensitive antibiotics to extend the course of treatment.