白血病医院感染的临床探讨

Clinical Studies on the Hospital Infection of Leukemia

作者收集138例白血病住院患者的资料,表明医院感染率达54.3％,而中枢神经系统性白血病和白血病合并颅内出血者医院感染更高,占91.7％,白血病医院感染的病死率为64％。最常见的感染部位是肺,超高热常常提示合并感染。消除感染的危险因素、积极治疗原发疾病、早期发现感染和应用致病菌敏感的抗生素,是降低白血病医院感染的关键。

In this paper, 138 inpatients with leukemia werereviewed. The results revealed that the hospital infec-tion rate of leukemia was 54.3% (75 in 128), and thehospital infection rate was higher in leukemia of cen-tral nervous system and leukemia combined with intracranial hemorrhage, reaching 91.7% (34 in 36).The total case fatality rate was 64% (48 in 75). The most common places of infection are thelungs. The ultrahyperpyrexia often indicates concur-rent infection. The key to reduce the hospital infectionof leukemia is dispeling the dangerous factors, treatingthe primary diseases in time, discovering the infectionearly and administering the sensitive antibiotics.