22例慢性重型肝炎合并真菌感染的临床分析

Clinical Study on 22 Chronic severe hepatitis patients complicated with fungal infections

目的:探讨论慢性重型肝炎患者并发真菌感染类型,临床表现特点和预后。方法:回顾性观察了我院近3年收治的慢性重型肝炎患者合并真菌感染的情况。结果61例患者中真感染22例(36.0％)、慢性重型肝炎并发真菌感染的病死率为72、73％。结论:慢性重型肝炎并发医院真菌感染并不少见,感染后预后差,主要防治措施是合理应用抗生素早期诊治真菌感染。

Objective: to study the type of chronic severe hepatitis complicated with fungal infections and their clinical features and prognosis. Method: An retrospective analysis on the cases of chronic severe hepatitis patients complicated with fungal infections from 1997 to 1999. Results: Fungal infections were observed in 22 of 61 (36. 06%). There is an obvious difference between the mortal- ity rate of these chronic severe hepatitis patients without fungal infections (51.28%) and the group having fungal infections (72.73%). Conclusions: Fungal infection is a common complication in patients with chronic severe hepatitis. The main way to prevention the rational use of antibiotics to treat fungal infections as early as possible.