肝移植术后感染的防治及与其他并发症的处理

Prevention on the infection of 106 cases with liver transplantation

目的总结肝移植术后各类感染的防治经验。方法收集106例肝移植病人的临床资料,对其中发生感染病例的发病特点、防治方案及与其他并发症的相关性加以分析。结果106例肝移植病人,术后发生细菌感染35例,占33.0%;真菌感染9例,占8.5%;病毒感染6例,占5.7%。结论感染是影响肝移植预后的重要因素之一,应该预防、治疗及去除其他并发症等高危因素并重,“全程、全面”防治。

Objective To summarize the experience on prevention of different kinds of infections following liver trans- plantation. Methods 106 cases of liver transplantation were retrospectively analyzed, with the purpose of investigating the clinical manifestation of different kinds of infections, and discussing the diagnosis and treatment of them. Results Among the 106 cases, 35 （33.0 ~ ） were diagnosed as bacterial infection, 9 （8.5 % ） as fungal infection and 6 （5.7 % ） as vi- ral infection. Conclusion Infection has become the major cause of the mortality, the importance of diagnosis and treat- ment related to it should be better noticed.