【作者】 唐克诚； 李海； 李谦； 刘国旺； 冯洪玲； 袁桂玉；

【Author】 Tang Kecheng~* Li Hai Li Qian Liu Guowang Feng Hongling Yuan Guiyu. Tianjin infectious disease hospital

【机构】 天津市传染病医院ICU科；

【摘要】 目的:研究各型肝衰竭患者感染发生率及感染对肝衰竭患者预后的影响,方法:依照我国肝衰竭指南回顾我院近3年来肝衰竭患者合并感染情况,并依患者预后不同比较好转和死亡或肝移植组的感染部位、感染类型、感染比例是否不同,结果:各型肝衰竭患者发生感染率为89.3%,培养阳性标本中革兰氏阴性菌比例为92.59%,好转患者感染率为72.60%,低于死亡患者感染率(98.63%)。结论:肝衰竭患者感染率在近年来还在上升,主要感染病原来自肠杆菌属的革兰氏阴性杆菌,发生感染和重叠多部位感染会导致肝衰竭患者病死率增加。更多还原

【Abstract】 Objectives:Study the morbidity of infection and the outcome affection in liver failure patients. Methods:234 admitted patients were enrolled in this retrospective study.And diagnose these subjects according to the guideline published recently.Analyze the infection of all kinds of liver failure patients,Compare the position, type and ratio of infection in these patients.Result:The infection incidence of liver failure patients is 89.3 %. Gram negative bacteria is take 92.59% in all positive culture specimens.Lower infection incidence(72.60%)is observed in better outcome patients.High incidence of multiple positions infection in dead or liver transplantation patients is found.Conclusions:the infection incidence is higher in recent years.Gram negative bacteria is the main micro-organisms causing infection.The mortality of liver failure patients increased ff infection or multiple system infection occurred.更多还原