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| 重症急性胰腺炎继发感染的临床特点 | |
| 引用本文： | 文礼,赵龙,金涛,张海燕,黄蕾,杨晓楠,薛平,夏庆,刘续宝,程征宇. 重症急性胰腺炎继发感染的临床特点[J]. 中国中西医结合外科杂志, 2010, 16(2): 148-151 |
| 作者姓名： | 文礼 赵龙 金涛 张海燕 黄蕾 杨晓楠 薛平 夏庆 刘续宝 程征宇 |
| 作者单位： | 1. 四川大学华西医院中西医结合科,成都,610041 2. 四川大学华西医院普外科,成都,610041 |
| 基金项目： | 国家科技支撑计划，四川省急性胰腺炎中西医结合防治中心建设项目 |
| 摘 要： | 目的:探讨重症急性胰腺炎继发感染的临床特点。方法:回顾分析发病后72h内入院、病程中出现了感染并发症且资料完善的66例患者的临床资料,探讨其临床特点。结果:重症急性胰腺炎伴感染患者的总病死率为37.9%,66例共继发88个器官感染,共培养出76(49.7%)G-菌株、17(11.1%)G+菌株,60(39.2%)真菌株。胰腺感染占总感染病例的34.8%(23/66),伴有胰腺或胰周感染患者的病死率高于无胰腺感染患者(P0.05)。真菌感染32例,其中单纯真菌感染4例,包括尿道2例,肺部和血液各1例,其余病例均伴有细菌感染。结论:重症急性胰腺炎继发胰腺或胰周感染是最为严重的感染并发症;真菌感染有增加的趋势,临床工作中要注意合理使用抗生素。 |
| 关 键 词： | 重症急性胰腺炎 感染 多脏器功能衰竭 |
Clinical Investigation of Severe Acute Pancreatitis Complicated with Infection |
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| Wen Li,Zhao Long,Jin Tao,et al.. Clinical Investigation of Severe Acute Pancreatitis Complicated with Infection[J]. Chinese Journal of Surgery of Integrated Traditional and Western Medicine, 2010, 16(2): 148-151 | |
| Authors: | Wen Li Zhao Long Jin Tao et al. |
| Affiliation: | Wen Li,Zhao Long,Jin Tao,et al.Department of Integrated Traditional Chinese , Western Medicine,West China Hospital,Chengdu(610041),China |
| Abstract: | Objective To investigate the clinical characteristics of severe acute pancreatitis(SAP) complicated with infection.Methods Clinical data of 66 infected SAP patients who directly admitted to the hospital within 72 h after the onset of symptoms were retrospectively analyzed.Results The total mortality of infected SAP patients was 37.9%.Eight-eight organs were infected by 76(49.7%) stains of Gram-negative bacteria,17(11.1%) Gram-positive bacteria and 60(39.2%) by fungus.Pancreatic infection accounted for 34.8%... |
| Keywords: | severe acute pancreatitis infection clinical investigation |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |