109例SLE住院病人合并感染的临床分析

为探讨系统性红斑狼疮（SLE）与各种病原体感染的关系，对109例SLE住院病人合并感染情况进行了分析。结果总感染例次为124，其中65例次为医院内感染；各种感染性疾病在总感染例次中的构成比 从高到低依次为细菌性疾病52.42%(65/124)、传染性疾病17.74%(22/124)、深部真菌病16.94%(21/124)及病毒性疾病12.9%(16/124)；11例死亡的病例其原因分别为急性粟粒型肺结核、乙型肝炎并肝昏迷、金黄色葡萄 球菌性败血症、隐球菌性脑膜炎。结果提示SLE住院病人合并感染是一 不容忽视的现象，应加强病房管理，防止严重后果的发生。

Clinical analysis of 109 cases of SLE inpatients with complicated infection

In order to investigate the relationship between systemic lupuserythematosus(SLE) and the complicated infection, we analysed 109 cases of SLE inpatients with complicated infection. The results showed that 109 cases of SLE inpatients were infected by the various pathogens, and the percentage of patients with complicated infection was 46. 38%. The total number of infections was 124, among them, 65 were nosocomial infecton. The percentage of various infections were as follows: bacterial infections 52. 42% (65/124), infectious diseases 17.74% (22/124), fungal diseases 16. 94% (21/124), viral diseases 12.9% (16/ 124), successively. 11 cases died of acute miliary tuberculosis, hepatitis B and hepatic coma, staphylococcal septicemia, cryp tococcal meningitis. The above results suggest that the prevention and treatment of complicated infection of SLE in the inpatients is very important.