重型肝炎合并真菌感染的观察与护理

Observation and nursing of fulminant hepatitis complicated with fungal infection

目的 观察重型肝炎合并真菌感染的早期临床表现 ,探讨相应的护理对策。方法 分析 2 3 5例重型肝炎住院患者中 81例合并真菌感染的临床表现 ,并对护理工作进行评价。结果 真菌感染主要发生部位依次为呼吸道、胃肠道和泌尿道 ,主要致病菌为白色念珠菌。细致的护理工作能及早发现真菌感染 ,减少感染的发生率。结论 真菌感染的早期临床表现隐匿 ,对重型肝炎病人要加强呼吸道、消化道、泌尿道等临床表现的观察 ,做好病房环境消毒 ,加强基础护理 ,严格执行无菌操作原则 ,预防真菌感染。

Objective To observe the early manifestation of fulminant hepatitis complicated with fungal infection and explore the suitable nursing countermeasure. Methods The manifestation of fungal infection were observed in 81 cases among 235 patients with fulminant hepatitis. The effect of nursing care was evaluated. Results The fungal infection occurred mostly in respiratory tract, gastrointestinal tract and urinary tract. Candida albicans was the major pathogen causing clinical infection. Intensive care helped to find the sources of fungal infection and thus reduced morbidity. Conclusion For fulminant hepatitis patients the initial clinical manifestations of fungal infection are typical. It is important to find the minute changes of the symptoms, sterilize the ward, reinforce the nursing, and prevent the ectogenesis or endogenesis fungal infections.