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报道264例老年肝硬化患者的医院内感染情况。结果示院内感染发生率为46.6％,以传染科发生率最高。常见的感染部位依次为下呼吸道、腹腔及肠道。致病菌以革兰氏阴性菌为主(63.2％),其次为革兰氏阳性菌及真菌。药敏试验示院内感染菌株耐药率较高。有肝昏迷或上消化道大出血发生者及血浆白蛋白在30g/L以下者院内感染发生率较高。胆汁性及肝炎后性肝硬化院内感染率也较高。作者还分析了发生院内感染的致危因素。
Report of 264 cases of elderly patients with cirrhosis of the hospital infection. The results showed that the incidence of nosocomial infection was 46.6%, the highest incidence of infectious diseases. Common infection sites followed by the lower respiratory tract, abdominal and intestinal. Gram-negative bacteria are the main pathogens (63.2%), followed by Gram-positive bacteria and fungi. Drug susceptibility test showed that the infection rate of nosocomial infection was high. Hepatic coma or upper gastrointestinal bleeding occurred in patients with plasma albumin and 30g / L following the higher incidence of nosocomial infection. Biliary and posthepatitic cirrhosis nosocomial infection rate is also higher. The author also analyzed the risk factors for nosocomial infections.