老年肝炎后肝硬化合并院内感染临床分析(附31例报告)

The Clinical Analysis of Nosocomial Infection in 31 Aged Patients with Posthepatitic Cirrosis

目的:分析老年肝炎后肝硬化合并医院内感染的临床特点,以利于提高诊治水平。方法:分析31例老年肝炎后肝硬化合并医院内感染患者的临床资料。结果:老年肝炎后肝硬化患者合并医院内感染率为30.6％,高发因素为老年人免疫防御能力低下;不合理使用抗生素;住院时间过长;各种侵袭性治疗手段使用。感染部位以下呼吸道为首位;临床表现不典型;病原菌以G杆菌为主。结论:死亡率高,关键在于预防。

Objective: To improve the level of diagnosis and treatment through analysing the clinical features of nosocomial infection of aged patients with posthepatitic cirrhosis. Methods: The clinical data of 31 aged cases with posthepatitic cirrhosis complicated by nosocomial infection. Results: The rate of infection was 30.6 % . The factors causing the disease were the low ability of immunity in the aged, unreasonable use of antibiotics, prolonged hospilalization and various attacking treatments. The lower respiratory tract was the main infected organ. The clinical features were not typical. G bacillus was the chief pathogen. Conclusion: The death rate is high. What counts is prevention.