维持性血液透析患者肺部感染的临床分析

Clinical analysis of Pulmonary Infection in maintenance hemodialysis patients

目的探讨终末期肾病血液透析患者肺部感染的危险因素以及预防措施。方法回顾性分析91例血透患者的临床资料,对年龄、病原体、原发病因、营养状况、透析充分性进行统计分析。结果肺部感染组44例患者共发生肺部感染68例次,病原学检查以革兰氏阴性菌常见,肺部感染组血红蛋白、血清白蛋白及KT/V明显低于非感染组,糖尿病和SLE患者肺部感染发生率高。结论维持性血液透析患者肺部感染的发生率高,积极改善营养状况,加强透析能有效减少肺部感染。

Objective To investigate the characteristic and related risk factors in maintenance hemodialysis （HD） patients complicated with Pulmonary Infections. Methods Clinical data of 91 HD patients between January, 2003 and December,2006 were enrolled in this study. The factors, including the age, pathogens, nutritional status and causes of end-stage renal disease （ESRD） were analyzed. Results 68 times Pulmonary infections were observed among 44 patients, Gram-negatives germ were most common, Hemoglobin, serum albumin and KT/V decreased obviously in infectious patients. Diabetes and systemic lupus erythematosus （SLE）patients were more susceptible to infection. Conclusions There is higher Pulmonary Infection rate in maintenance HD patients ,improving nutritional status and strengthening dialysis were contribute to prevent and treat infection.