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脊髓损伤长期瘫痪的病人大多数死于肾脏疾病终末期所引起的肾衰。应用透析疗法以后,各种合并感染成为这类病人的主要死亡原因。本文对43例接受透析怡疗的脊髓损伤病人的合并感染进行分析。43例中42例(98％)在观察期间有慢性尿路感染活动。151个阳性尿培养中72个有两种以上细菌(48％)。4例发生败血症。最常见的致病菌:非溶血性链球菌(45.2％)、假单胞菌属(38.1％)、奇异变形杆菌(35.7％)、雷特格氏变形杆菌(35.7％)、绿脓杆菌(33.3％)、大肠杆菌(26.2％)和摩根氏变形杆菌(14.3％)。慢性尿路感染急性发作时出现脓尿加重、肾功能恶化,只有25％的病例有低热,通常无白细胞增多,除非并发败血症。27例(63％)发生褥疮,其感染致病菌:奇异变形杆
Most of the patients with long-term paralysis of spinal cord injury died of renal failure caused by the end of kidney disease. After the application of dialysis therapy, a variety of co-infections have become the main cause of death in such patients. In this paper, 43 cases of dialysis patients treated with dialysis treatment of spinal cord injury were analyzed. Of the 43 cases, 42 (98%) had chronic urinary tract infection during the observation period. 72 out of 151 positive urine cultures had two or more bacteria (48%). 4 cases of sepsis. The most common pathogens were non-hemolytic streptococci (45.2%), Pseudomonas (38.1%), Proteus mirabilis (35.7%), Proteobacter reinhardtii (35.7%), Pseudomonas aeruginosa 33.3%), Escherichia coli (26.2%) and Morgodimonium (14.3%). Chronic urinary tract infection in patients with exacerbation of exacerbation of excretion of urine exacerbations, renal dysfunction, only 25% of cases have low fever, usually without leukocytosis, unless complicated with sepsis. 27 cases (63%) of bed sores, the pathogen infection: singular deformation rod