【摘要】 目的探讨恶性肿瘤患者放化疗后白细胞下降致医院感染情况及护理对策。方法采用回顾性研究方法对2102例恶性肿瘤放、化疗患者进行调查分析,对其中白细胞<1.0×109/L的37例患者,分析其出现的医院感染症状及给予针对性护理干预。结果恶性肿瘤患者骨髓抑制白细胞<1.0×109/L医院感染率为43.2%,呼吸道感染占56.2%;检出病原菌:革兰阴性菌占50.0%;革兰阳性菌占31.3%;真菌占18.7%。结论恶性肿瘤患者放、化疗后骨髓抑制期白细胞下降,是医院感染的易感人群,医护人员应采用合理预防感染的措施,以便降低医院感染发生率。更多还原

【Abstract】 OBJECTIVE To explore the nursing countermeasures for leukopenia induced nosocomial infection after chemotherapy and radiotherapy in patients with malignant tumor.METHODS A total 2 102 cases of malignant tumor patients treated by chemotherapy and radiotherapy were retrospectively analyzed and investigated,symptom of infection were analyzed and corresponding nursing intervention was proposed for the 37 patients whose white blood cells were less than 1.0×109/L.RESULTS The hospital infection rate was 43.2% in patients with malignant tumor with bone marrow suppression white blood cell less than 1.0×109/L,of which 56.2% were respiratory tract infections.Pathogens were composed of gram-negative bacteria(G-)(50.0%);gram-positive bacteria(G+)(31.3%) and fungi(18.7%).CONCLUSION Leucopenia caused by bone marrow suppression in patients with malignant cancer after radiotherapy and chemotherapy is a susceptible factor for nosocomial infection,reasonable measures should be taken to prevent and reduce the incidence of nosocomial infection更多还原