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分析老年肝硬化患者医院感染状况及治疗对转归的影响。方法 对中老年组 182例和非老年组 2 73例医院感染的发生率、死亡率及不同疗法的疗效进行分析。结果 有 5 9例共 76例次发生医院感染 ;医院感染总发生率 16 .70 % ,其中老年组 2 5 %明显高于非老年组 12 .5 4% ;医院感染以原发性腹膜炎最多占 5 9.2 1% ,腹水的细菌检出率 11.11% ;45 5例肝硬化的总死亡率 17.8% ,合并医院感染的死亡率 40 .6 8%。结论 老年肝硬化患者的医院感染率明显增高 ,它是使病情恶化、导致死亡的重要因素 ,临床上应高度重视 ;治疗上应在保肝、抗炎的同时加辅助治疗以提高有效率。
Analysis of hospitalized patients with senile cirrhosis of the status of infection and the impact of treatment on the outcome. Methods The incidence of nosocomial infection in 2 182 middle-aged and old-aged patients and the mortality of 2 73 cases in non-elderly group and the curative effect of different therapies were analyzed. Results Ninety-nine patients had nosocomial infections in 76 cases. The total incidence of nosocomial infections was 16.7%, of which 25% in the elderly group was significantly higher than that in the non-elderly group (12.54%). The most common nosocomial infection was peritonitis 5 9.21%, ascites bacterial detection rate of 11.11%; 455 cases of cirrhosis of the total mortality of 17.8%, combined hospital mortality 40.68%. Conclusion The prevalence of nosocomial infection in elderly patients with cirrhosis is significantly higher. It is an important factor that aggravates the disease and leads to death. Clinicians should attach great importance to it. In the treatment of hepatocirrhosis and anti-inflammatory, adjuvant therapy should be added to improve the efficiency.