【摘要】 目的探讨老年肺癌患者医院感染的临床特点。方法对我院5年间62例老肺癌患者医院感染发生率、感染部位、致病菌和易感因素等进行回顾性分析,并与同期非老年组进行比较。结果老年组发生医院感染率为72.5%,高于同期非老年组的33.9%,P<0.01。感染部位以呼吸系统和口腔多见,多部位感染、重症感染高于非老年组,致病菌革兰氏阴性杆菌为骨髓抑制,粒细胞缺乏者感染率明显增高。结论老年肺癌患者医院感染发生率高,骨髓抑制、粒细胞缺乏为主要易感因素。治疗应及时应用有效抗生素,加强综合支持治疗。更多还原

【Abstract】 Objective To investigate the clinical features of the hospital infection in the senile patients with lung cancer. Methods The hospital infection rate, the infection sites, the pathogenic bacteria and infections of 62 senile lung cancer patients during the past five years were analyzed retrospectively, and compared with groups of non-senile patients in the corresponding period. Results The incidence of the hospital infection in the senile patients (72.5%)was higher than that of non-senile ones (33.9%),P<0.01.the most commonly infection sites were oral cavity and respiratory system. The multiple and serious infection in the senile patients was more than that of non-senile ones. The common pathogenic bacteria were mainly Gran-negative one. There was a markedly higer infection rate in bone marrow inhibition and agranulocytosis patients. Conclusion The hospital infection incidence of senile patients with lung cancer is higer. The main infections factor is bone marrow inhibition.更多还原